MRS. AMANDA RENEE GIBSON (NPI# 1437434594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437434594 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA RENEE GIBSON |
| Credential | MA, LLPC |
| Practice Address |
850 W University Dr Suite C Rochester MI 48307-1852 |
| Practice Telephone | 2489902300 |
| Mailing Telephone | 2489902300 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401012606 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386258267 | Amanda Marie Gibson | Dietitian, Registered | 204 Holiday Dr, Houma, LA 70364-2644 | 2020-09-08 |
| 1912324708 | Amanda Gibson | Ophthalmology | 2929 Kenny Rd Ste 150, Columbus, OH 43221-2458 | 2014-03-18 |
| 1770913584 | Amanda Logan Gibson | Behavioral Analyst | 8408 Stacy Rd Ste 300, Mckinney, TX 75070-2422 | 2013-11-14 |
| 1619304771 | Amanda Gibson | Case Manager/Care Coordinator | 11605 3rd Street E, Treasure Island, FL 33706 | 2013-10-03 |
| 1639330731 | Amanda J Gibson | Dietitian, Registered | 503 Katrina Ct, Mechanicsburg, PA 17050-2549 | 2008-06-20 |
| 1356950778 | Amanda M Gibson | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-07-31 |
| 1588291538 | Amanda Smeltzer Gibson | Pharmacist | 10820 Parkside Dr, Knoxville, TN 37934-1956 | 2020-03-26 |
| 1649803222 | Amanda Watson Gibson | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-02-21 |
| 1093294282 | Amanda M Gibson | Nurse Practitioner | 1050 Reid Pkwy Ste 110, Richmond, IN 47374 | 2018-08-09 |
| 1982107686 | Amanda L Gibson | Social Worker | 700 Childrens Dr, Columbus, OH 43205-2664 | 2018-03-09 |
| Street Address |
850 W UNIVERSITY DR SUITE C |
| City | ROCHESTER |
| State | MI |
| Zip Code | 48307-1852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265866859 | Thrive Counseling, LLC | Community/Behavioral Health | 850 W University Dr, Rochester, MI 48307-1845 | 2013-08-30 |
| 1710229562 | Datara Michener | Counselor | 850 W University Dr, Rochester, MI 48307-1845 | 2013-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| 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 |
|---|---|---|---|---|
| 1083212922 | Kathryn R Meckle | Counselor | 19350 Grand Mound Way Sw, Rochester, WA 98579-9218 | 2020-10-13 |
| 1851928626 | Daniel Shepherd Dmin, LLC | Counselor | 210 W University Dr Ste 7, Rochester, MI 48307-1975 | 2020-03-23 |
| 1477016749 | Matthew Cooney Dougherty | Counselor | 1099 Jay St Ste 200, Rochester, NY 14611-1153 | 2019-04-12 |
| 1538679063 | Lorrie Ann Johnson | Counselor | 95 Allens Creek Rd Ste 2, Rochester, NY 14618-3252 | 2017-10-11 |
| 1275058380 | Daniel Farm | Counselor | 2434 Superior Dr Nw Ste 103, Rochester, MN 55901-2591 | 2017-08-09 |
| 1821453663 | Jonathan Hart | Counselor | 411 Woodward Ave, Rochester, MI 48307-1173 | 2015-12-21 |
| 1225413883 | Alexandra Rahaim | Counselor | 1908 Flagstone Cir, Rochester, MI 48307-6096 | 2015-07-24 |
| 1689067316 | Patricia R Geist | Counselor | 110 Blacksmith Rd, Rochester, WA 98579-8902 | 2015-03-05 |
| 1831511211 | Dan Austin | Counselor | 5041 Aintree Ct, Rochester, MI 48306-2702 | 2014-01-20 |
| 1336577758 | Ira Leighann Scheckel | Counselor | 2519 Commerce Dr Nw Ste 210, Rochester, MN 55901-4434 | 2013-10-22 |
| Find all providers in ROCHESTER | ||||
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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.