MRS. MICHELLE LYNN GIBBS (NPI# 1558692285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558692285 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE LYNN GIBBS |
| Credential | LCPC |
| Practice Address |
604 E College St Carbondale IL 62901-3309 |
| Practice Telephone | 6184576703 |
| Practice Fax Number | 6185293437 |
| Mailing Telephone | 6184576703 |
| Mailing Fax Number | 6185293437 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180006282 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437606530 | Michelle Renee Gibbs | Registered Nurse | 21334 Thomas Dr, Carson, CA 90745-1600 | 2016-09-06 |
| 1639502677 | Michelle Gibbs | Contractor | 21752 Mccormick St, Grosse Pointe, MI 48236-2110 | 2013-08-13 |
| 1801029897 | Michelle Elizabeth Gibbs | Nurse Anesthetist, Certified Registered | 1532 Tulane Ave, New Orleans, LA 70112-2860 | 2009-08-25 |
| 1669610382 | Michelle A. Gibbs | Nurse's Aide | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2009-02-03 |
| 1629056478 | Michelle D Gibbs | Nurse Practitioner | 345 Maxwell Ave, Boulder, CO 80304-3972 | 2006-01-03 |
| Street Address |
604 E COLLEGE ST |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932251758 | Southern Illinois Regional Social Services | Community/Behavioral Health | 604 E College St, Carbondale, IL 62901-3309 | 2007-01-18 |
| 1932475506 | Southern Il Regional Social Services | Community/Behavioral Health | 604 E College St, Carbondale, IL 62901-3309 | 2012-03-28 |
| 1174897433 | The H Group Bbt, Inc | Community/Behavioral Health | 604 E College St, Carbondale, IL 62901-3309 | 2012-03-05 |
| 1326326877 | Daniel Wynn Balchen | Case Manager/Care Coordinator | 604 E College St, Carbondale, IL 62901-3309 | 2011-08-02 |
| 1669768446 | Geri L Tucker | Counselor | 604 E College St, Carbondale, IL 62901-3309 | 2011-06-21 |
| 1366737967 | Verletta Saxon | Counselor | 604 E College St, Carbondale, IL 62901-3309 | 2011-06-13 |
| 1073808796 | Tamara Marie George | Counselor | 604 E College St, Carbondale, IL 62901-3309 | 2011-06-10 |
| 1366745598 | Susan L Irwin | Counselor | 604 E College St, Carbondale, IL 62901-3309 | 2010-12-09 |
| 1144522889 | Rachelle Erin Ridgeway | Counselor | 604 E College St, Carbondale, IL 62901-3309 | 2010-12-01 |
| 1619103488 | Marissa Mckee | Counselor | 604 E College St, Carbondale, IL 62901-3309 | 2009-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847359 | Shariece Inez Hastings | Counselor | 904 E Cindy St, Carbondale, IL 62901-3318 | 2020-09-23 |
| 1780156547 | Kw Therapy, LLC | Counselor | 112 Blue Creek Overlook, Carbondale, CO 81623-7705 | 2018-12-18 |
| 1043696982 | Dominique Davis-warner | Counselor | 1337b Springer Ridge Rd, Carbondale, IL 62902-7902 | 2015-08-03 |
| 1407275589 | Eileen Gielow | Counselor | 9 Raccoon Ct, Carbondale, CO 81623-8756 | 2014-04-15 |
| 1932527728 | Marsha Perfetti | Counselor | 241 S Lewis Ln, Carbondale, IL 62901-3443 | 2014-03-31 |
| 1255670303 | Beth A Morrison | Counselor | 118 Glopen Rd, Carbondale, IL 62901-5860 | 2013-02-10 |
| 1861745911 | Turkessa Crystal Jackson | Counselor | 1144 E Rendleman St, Carbondale, IL 62901-3428 | 2012-10-25 |
| 1669783601 | Cindy P Johnson | Counselor | 35 Albany Rd Ste E, Carbondale, IL 62903-7647 | 2010-06-24 |
| 1164661716 | Peter N. Haller | Counselor | 604 E College St Ste 101, Carbondale, IL 62901-3309 | 2009-02-05 |
| 1366584906 | F Dale Budslick | Counselor | 607 W Main, #100, Carbondale, IL 62901 | 2007-02-12 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
Please comment or provide details below to improve the information on MRS. MICHELLE LYNN GIBBS.
| 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.