MS. ANDREA LYNN GIBBS (NPI# 1376665034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376665034 |
| Entity Type | Individual |
| Full Name | MS. ANDREA LYNN GIBBS |
| Credential | MA, LPC, NCC, BSW |
| Practice Address |
1 Heritage Dr # 520 Southgate MI 48195-3094 |
| Mailing Address |
26300 Outer Dr Lincoln Park MI 48146-2019 |
| Practice Telephone | 7345600173 |
| Mailing Telephone | 3133884603 |
| Mailing Fax Number | 3133880472 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2019-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401008014 | MI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
6401008014 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 26300 Outer Dr, Lincoln Park, MI 481462019 | 3133884603 | 3133880472 |
| Street Address |
1 HERITAGE DR # 520 |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-3094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164905675 | Jenna Debryn | Counselor | The Guidance Center, 13101 Allen Rd. Building 4, Southgate, MI 48915 | 2018-09-11 |
| 1902180151 | Victoria Lee Gillespie | Counselor | 14638 Fordline St, Southgate, MI 48195-2549 | 2011-10-06 |
| 1932499787 | Stephanie Carney | Counselor | 13101 Allen Rd Unit 500, Southgate, MI 48195-2216 | 2011-04-13 |
| 1871816314 | Angelo Francesco Degiulio | Counselor | 30101 Allen Rd, Southgate, MI 48195 | 2010-03-11 |
| 1801020383 | Lakeya Nico Martin | Counselor | 13101 Allen, Southgate, MI 48195 | 2009-05-12 |
| 1992825756 | Shelly A Meller | Counselor | 13101 Northline Road, Southgate, MI 48195 | 2007-03-29 |
| 1912922410 | Michael Chapman | Counselor | 19401 Northline Rd, Southgate, MI 48195-2277 | 2006-07-13 |
| 1851908214 | Amanda Renae Meyers | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-09-29 |
| 1609494046 | Dequindre Lashay Jernigan | Counselor | 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 2020-07-13 |
| 1427694173 | Katarena Rae Seelman | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2019-11-18 |
| Find all providers in SOUTHGATE | ||||
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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.