SARAH ELIZABETH GIBSON (NPI# 1124519426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124519426 |
Entity Type | Individual |
Full Name | SARAH ELIZABETH GIBSON |
Credential | MA, LPC, CACII |
Practice Address |
3400 Table Mesa Dr Boulder CO 80305-5869 |
Mailing Address |
737 29th St Ste 102 Boulder CO 80303-2317 |
Practice Telephone | 7209479176 |
Mailing Telephone | 7209479176 |
Enumeration Date | 2018-05-22 |
Last Update Date | 2018-05-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACB.0007948 | CO | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC.0013406 | CO | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
737 29th St Ste 102, Boulder, CO 803032317 | 7209479176 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306374350 | Sarah Elizabeth Gibson | Clinic/Center | 172 Longview Cir, Searcy, AR 72143-9215 | 2017-06-02 |
1447781976 | Sarah Gibson | Specialist/Technologist | 4632 State Route 132, Batavia, OH 45103-1231 | 2017-03-26 |
1467846931 | Sarah Gibson | Optometrist | 3313 Ranch Road 620 S, Austin, TX 78738-6870 | 2015-03-23 |
1477951762 | Sarah Gibson | Physical Therapy Assistant | 2006 Bloommist Ct, Rosenberg, TX 77469-5724 | 2014-12-18 |
1013106137 | Sarah Elaine Gibson | Massage Therapist | 1255 66th Ave Ne, Fridley, MN 55432-4656 | 2007-10-15 |
1578571733 | Sarah Gibson | Nurse Practitioner | 225 S Union Blvd Ste 2, Colorado Springs, CO 80910-3186 | 2006-08-04 |
1013538024 | Sarah Elizabeth Gibson | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-4416 | 2020-04-30 |
1952934424 | Sarah Lynn Gibson | Social Worker | 115 Main St, El Segundo, CA 90245-3802 | 2020-02-12 |
1982189650 | Sarah Elizabeth Gibson | Social Worker | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2018-09-28 |
1245724939 | Sarah Gibson | Nurse Practitioner | 5018 Cahaba River Rd, Vestavia, AL 35243-2317 | 2018-06-18 |
Street Address |
3400 TABLE MESA DR |
City | BOULDER |
State | CO |
Zip Code | 80305-5869 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417998501 | Larry Eric Frieder | Chiropractor | 3400 Table Mesa Dr, #201, Boulder, CO 80305 | 2006-06-09 |
1386006989 | Chrisana Olson, Ph.d., Pllc | Psychologist | 3400 Table Mesa Dr, Suite 203, Boulder, CO 80305-5869 | 2016-03-22 |
1871998898 | Nicolas Desmet | Massage Therapist | 3400 Table Mesa Dr, Suite 203, Boulder, CO 80305-5869 | 2014-11-03 |
1144625906 | Sara Lindblom | Massage Therapist | 3400 Table Mesa Dr, Suite 203, Boulder, CO 80305-5869 | 2014-10-22 |
1811391410 | Daniela Jaramillo | Massage Therapist | 3400 Table Mesa Dr, Suite 203, Boulder, CO 80305-5869 | 2014-10-10 |
1881011229 | Caitlin Dygulski | Massage Therapist | 3400 Table Mesa Dr, Suite 203, Boulder, CO 80305-5869 | 2014-03-24 |
1841614344 | Chanel Jost | Massage Therapist | 3400 Table Mesa Dr, Suite 203, Boulder, CO 80305-5869 | 2014-02-05 |
1699198598 | Susan E Butler | Massage Therapist | 3400 Table Mesa Dr, 203, Boulder, CO 80305-5869 | 2014-01-28 |
1295166593 | Aqui Mizrahi | Acupuncturist | 3400 Table Mesa Dr, Suite 205, Boulder, CO 80305-5869 | 2013-12-12 |
1134552789 | Zeona Mcintyre | Massage Therapist | 3400 Table Mesa Dr, 203, Boulder, CO 80305-5869 | 2013-08-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538698923 | Carian Mclean | Registered Nurse | 1013 Berea Dr, Boulder, CO 80305 | 2017-06-08 |
1548629439 | Kimberly Norquist | Dental Hygienist | 661 S. Broadway St, Boulder, CO 80305 | 2016-02-19 |
1871981266 | Kathleen Anne Stone | Registered Nurse | 3680 Silver Plume Lane, Boulder, CO 80305 | 2015-01-07 |
1104235779 | Joyce Larson | Marriage & Family Therapist | 1190 S Lashley Ln, Boulder, CO 80305 | 2014-08-07 |
1982035788 | Virginia Pleasants Vandenbergh | Counselor | 4760 Ludlow St, Boulder, CO 80305 | 2013-12-03 |
1790992550 | Jasjit Singh Gill | Pharmacist | The Apothecary Pharmacy - University of Colorado, 350 Broadway Ste. 50, Boulder, CO 80305 | 2007-05-17 |
1477768299 | Stephen W Laycock | Dentist | 4150 Darley Ave., Suite 7, Boulder, CO 80305 | 2007-05-14 |
1871614560 | Steven Leslie Buffer | Dentist | 385 Broadway St, Boulder, CO 80305 | 2007-04-02 |
1801927793 | Jeffrey Dann | Acupuncturist | 3400 Table Mesa Drive, Ste. 205, Boulder, CO 80305 | 2007-03-09 |
1235292145 | Pharmaca Integrative Pharmacy | Exclusive Provider Organization | 645 South Boulder, Boulder, CO 80305 | 2006-12-19 |
Find all providers in zip 80305 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881205466 | Sara Horn | Counselor | 4650 White Rock Cir Apt 12, Boulder, CO 80301-5373 | 2020-08-16 |
1669095618 | Allison Margaret Leddy Villarreal | Counselor | 737 29th St Ste 200f, Boulder, CO 80303-2474 | 2020-05-26 |
1265053961 | Positive Regard Psychotherapy Pllc | Counselor | 3102 Gamow Ln, Boulder, CO 80301-5465 | 2020-05-04 |
1154953776 | Willow Mae Arlenea | Counselor | 4500 19th St Lot 379, Boulder, CO 80304-0663 | 2020-02-11 |
1336779925 | Lisa Wallace | Counselor | 2769 Iris Ave Ste 107, Boulder, CO 80304-4405 | 2020-01-22 |
1952952764 | Lauren Bleu Northrup | Counselor | 170 Seminole Dr, Boulder, CO 80303-4227 | 2019-09-23 |
1750947289 | Shelly Froehlich | Counselor | 1637 28th St Ste 201, Boulder, CO 80301-1001 | 2019-05-09 |
1003470139 | Kim Ann Merrill | Counselor | 6658 Gunpark Dr Ste 201, Boulder, CO 80301-3375 | 2019-04-24 |
1477019222 | Elizabeth Ann Maher | Counselor | 4949 Broadway St Ste 201, Boulder, CO 80304-0578 | 2019-02-18 |
1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
Find all providers in BOULDER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.