MR. GARY GRANT GIBSON (NPI# 1255526174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255526174 |
| Entity Type | Individual |
| Full Name | MR. GARY GRANT GIBSON |
| Credential | LPC, NCC, LPCC, |
| Practice Address |
1351 Hershberger Rd Nw Suite 205 Roanoke VA 24012-2234 |
| Mailing Address |
2007 Millstream Dr Salem VA 24153-4620 |
| Practice Telephone | 5406823498 |
| Practice Fax Number | 5407762722 |
| Mailing Telephone | 5406823498 |
| Mailing Fax Number | 5407257774 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2015-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
00016 | MN | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0701003993 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1255526174 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194248864 | Gary Randall Gibson | Dentist | 30 Alexandria Blvd Ste 1010, Oviedo, FL 32765-8277 | 2017-07-24 |
| 1821097486 | Gary R Gibson | Internal Medicine | 310 Windsor Dr, Cortland, OH 44410-2705 | 2005-07-18 |
| 1427229582 | Gary Gibson | Physical Therapist | 4121 King Rd, Sylvania, OH 43560-4438 | 2008-03-17 |
| 1699958017 | Gary Alan Gibson | Counselor | 3556 El Camino Real, Atascadero, CA 93422-2532 | 2007-12-07 |
| 1659489144 | Gary G. Gibson | Pharmacist | 4300 W 7th St, Little Rock, AR 72205-5446 | 2006-08-26 |
| 1619988466 | Gary Max Gibson | Internal Medicine | 1441 Redbud Blvd, Suite 211, Mckinney, TX 75069-3234 | 2006-08-10 |
| 1376520924 | Gary L Gibson II | Family Medicine | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2005-12-26 |
| Street Address |
1351 HERSHBERGER RD NW SUITE 205 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24012-2234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215440359 | Sahar Rafiq | Dentist | 3802 Apricot Trl, Roanoke, VA 24012 | 2017-11-12 |
| 1790202695 | Friendship Pharmacy, Inc. | Pharmacy | 327 Hershberger Rd., Roanoke, VA 24012 | 2017-08-23 |
| 1760912901 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1318 Plantation Rd Ne, Roanoke, VA 24012 | 2017-06-19 |
| 1770019622 | Eisa Jawad Abu Munshar | Dentist | 4753 Valley View Blvd Nw, Roanoke, VA 24012 | 2017-05-11 |
| 1447702303 | Kartesz Eye Associates Inc. | Optometrist | 4922 Vally View Blvd., Roanoke, VA 24012 | 2016-10-26 |
| 1740638220 | Kevin E Steinberger | Physical Therapist | 2730 Forest Oak Dr, Roanoke, VA 24012 | 2016-05-25 |
| 1740637883 | Professional Health Care Services, Inc. | In Home Supportive Care | 367 Hershberger Rd., Nw, Roanoke, VA 24012 | 2016-05-18 |
| 1497129787 | M Zaher Aymach | Dentist | 1502 Williamson Rd Ne Ste A, Roanoke, VA 24012 | 2015-11-24 |
| 1518223916 | Katherine Rash | Social Worker | 3003 Hollins Road, Roanoke, VA 24012 | 2012-04-10 |
| 1841525383 | William Kastern, O.d., Ph.d., LLC | Optometrist | 4822c Valley View Blvd., Roanoke, VA 24012 | 2009-10-15 |
| Find all providers in zip 24012 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352645 | Victor M Rivera Sink | Counselor | 637 Webster Heights Rd, Roanoke, VA 24012-8988 | 2020-10-01 |
| 1902427495 | Lance Crawford | Counselor | 17 Church Ave Sw Apt 303, Roanoke, VA 24011-2011 | 2020-05-06 |
| 1992325344 | Joy-filled Counseling, Pllc | Counselor | 15600 Yarberry Dr, Roanoke, TX 76262-3364 | 2020-04-24 |
| 1881226173 | Shelby M Wynn | Counselor | 1942 Fairhope Rd Nw, Roanoke, VA 24017-1708 | 2020-02-05 |
| 1215587423 | Tara Hutcheson | Counselor | 846 Campbell Ave Sw, Roanoke, VA 24016-3536 | 2019-09-19 |
| 1437702461 | John Aubrey Hosey | Counselor | 3023 Peters Creek Rd Nw Ste B, Roanoke, VA 24019-2758 | 2019-07-18 |
| 1740846773 | Heather Erin Hamed-moore | Counselor | 541 Luck Ave Sw Ste 209, Roanoke, VA 24016-5055 | 2019-05-15 |
| 1770046120 | Heartspace Counseling, Plc | Counselor | 2502 Broadway Ave Sw Uppr Unit, Roanoke, VA 24014-1663 | 2019-04-12 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1053848507 | Natalie Sanders | Counselor | 4537 Hammond Ln, Roanoke, VA 24018-3921 | 2017-05-15 |
| Find all providers in ROANOKE | ||||
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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.