LISA GIBSON (NPI# 1538658695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538658695 |
| Entity Type | Individual |
| Full Name | LISA GIBSON |
| Practice Address |
14 Pacella Park Dr Randolph MA 02368-1756 |
| Practice Telephone | 7814400400 |
| Mailing Telephone | 7814400400 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110026265E | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598318370 | Lisa Jillian Gibson | Assistant Behavior Analyst | 1708 W Hazel St, Boise, ID 83702-1021 | 2019-07-20 |
| 1144696147 | Lisa Gibson | Counselor | 11966 County Road I, Pampa, TX 79065-1704 | 2015-08-13 |
| 1033541420 | Lisa Ann Gibson | Dietitian, Registered | 11 Quebrada, Irvine, CA 92620-1867 | 2013-08-07 |
| 1477868651 | Lisa Ann Gibson | Occupational Therapist | 1200 Barr St, Fort Wayne, IN 46802-3502 | 2010-08-12 |
| 1225294796 | Lisa Kay Gibson | Family Medicine | 201 Route 34 Bldg C-3, Colts Neck, NJ 07722-1902 | 2008-08-04 |
| 1881885788 | Lisa Tara Gibson | Counselor | 230 W Wells St Ste 214, Milwaukee, WI 53203-1866 | 2007-08-06 |
| 1700400587 | Lisa M Gibson | Social Worker | 2509 Research Blvd, Fort Collins, CO 80526-8108 | 2020-06-08 |
| 1922455195 | Lisa Renee Gibson | Counselor | 3809 Rosewood Dr, Columbia, SC 29205-3533 | 2016-05-18 |
| 1245565670 | Lisa Michelle Gibson | Physical Therapist | 1510 Seabright Ave, Santa Cruz, CA 95062-2529 | 2009-10-02 |
| 1467625632 | Lisa Camille Gibson | Registered Nurse | 722 Ne 162nd Ave, Albertina Kerr Center Youth & Family Services, Portland, OR 97024 | 2008-04-09 |
| Street Address |
14 PACELLA PARK DR |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477856839 | Hilary Lynn Collins | Behavioral Analyst | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2010-12-07 |
| 1548757636 | Jenna M Launie | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2018-04-16 |
| 1013416924 | Gabrielle N Bartholomew | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2018-02-06 |
| 1881101285 | Chase A Decoster | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2018-01-08 |
| 1942712658 | Mary Ellen Campisi | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2017-11-03 |
| 1306358015 | Nicole C Jordan | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2017-11-03 |
| 1477063097 | Angela N Guaraldi | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2017-10-10 |
| 1588183727 | Kathryn Runci | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2017-09-19 |
| 1083132443 | Katrina T Kennedy | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2017-09-06 |
| 1124546577 | Tobey H Duble | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2017-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044774 | Safe Space Therapeutic Services, Inc. | Counselor | 10 Mazzeo Dr Ste 206, Randolph, MA 02368-3433 | 2020-02-10 |
| 1336770155 | Crystal Casel | Counselor | 356 Main St E, Randolph, NY 14772-9696 | 2020-01-30 |
| 1386112126 | Bianca S Mathe | Counselor | 55 Birch Dr, Randolph, MA 02368-3406 | 2018-11-09 |
| 1184122566 | Lois T Awah | Counselor | 10 Mill Hill St, Randolph, MA 02368-5082 | 2018-01-31 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1114462116 | Paula Marie Weaver | Counselor | 25 Norfolk Rd, Randolph, MA 02368-4714 | 2016-12-29 |
| 1902259088 | Grace Gichuhi | Counselor | 286 Canton St, Randolph, MA 02368-1506 | 2016-07-13 |
| 1598117756 | Sharon George | Counselor | 9 Linden Park Dr, Randolph, MA 02368-4703 | 2016-07-12 |
| 1235597576 | Emline Clairvil | Counselor | 278 Canton St, Randolph, MA 02368-1506 | 2016-02-01 |
| Find all providers in RANDOLPH | ||||
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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.