JUSTIN TRAVIS GIBSON (NPI# 1588817415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588817415 |
Entity Type | Individual |
Full Name | JUSTIN TRAVIS GIBSON |
Credential | MA. LPC |
Practice Address |
3375 Us Rt 60 E Huntington WV 25705-2837 |
Mailing Address |
P.o. Box 299 252 Courthouse Drive Winfield WV 25213-9370 |
Practice Telephone | 3045257851 |
Practice Fax Number | 3045860671 |
Mailing Telephone | 3045257851 |
Mailing Fax Number | 3045860671 |
Enumeration Date | 2008-10-23 |
Last Update Date | 2015-09-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
1914 | WV | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0005355002 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336747989 | Justin Bruce Gibson | Chiropractor | 11 Charley Harper Dr Ste 140, Cartersville, GA 30120-0027 | 2020-10-15 |
1508408105 | Justin Wade Gibson | Counselor | 309 Progress Dr, Burgaw, NC 28425-3280 | 2019-10-15 |
1649734997 | Justin George Gibson | Counselor | 100 N 5th St, Hugo, OK 74743-4005 | 2019-01-30 |
1184155244 | Justin Gibson | Student in an Organized Health Care Education/Training Program | 260 Stetson St, Suite 2200, Cincinnati, OH 45219-2498 | 2017-03-21 |
1922234525 | Justin Tarrance Gibson | Student in an Organized Health Care Education/Training Program | 2222 Bancroft Way, University of California, Berkeley, Berkeley, CA 94720-4301 | 2009-06-09 |
Street Address |
3375 US RT 60 E |
City | HUNTINGTON |
State | WV |
Zip Code | 25705-2837 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356336903 | Prestera Center for Mental Health | Community/Behavioral Health | 3375 Us Rt 60 E, Huntington, WV 25705-0069 | 2005-09-20 |
1720453459 | Melissa Dawn Stephens | Social Worker | 3375 Us Rt 60 E, Huntington, WV 25705-2837 | 2015-12-07 |
1689046229 | Leah M Losh | Counselor | 3375 Us Rt 60 E, Huntington, WV 25705 | 2015-10-22 |
1437551280 | Jessica A Hewitt | Social Worker | 3375 Us Rt 60 E, Huntington, WV 25705 | 2014-09-24 |
1164830618 | Amy M Connelly | Social Worker | 3375 Us Rt 60 E, Huntington, WV 25705-0069 | 2014-07-29 |
1245648898 | Leslie Ann Bolden | Social Worker | 3375 Us Rt 60 E, Huntington, WV 25705-0009 | 2014-07-28 |
1871558841 | Willard A Sheets | Counselor | 3375 Us Rt 60 E, Huntington, WV 25705-2837 | 2006-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427664010 | Jessica Ann Richmond | Pharmacist | 3333 Us-60, Huntington, WV 25705 | 2020-09-18 |
1407418718 | Manpreet Kaur | Student in an Organized Health Care Education/Training Program | 3377 60 E, Huntington, WV 25705 | 2019-07-08 |
1508347238 | Catherine Lea Chapman | Family Medicine | 1530 Norway Ave - Mildred Mitchel Bateman Hospital, Huntington, WV 25705 | 2018-08-21 |
1306330311 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3375 Us Route 60 E Ste P, Huntington, WV 25705 | 2018-06-22 |
1407358120 | Sara Megan Hensley | Registered Nurse | 4 Rujon Dr, Huntington, WV 25705 | 2018-03-08 |
1104332329 | Brenda Joyce Lemaster | Technician | 5226 Irwin Road, Huntington, WV 25705 | 2017-12-26 |
1750824033 | Chad Butler | Pharmacist | 3377 Route 60 East, Huntington, WV 25705 | 2016-11-18 |
1952769549 | Tonya Lynn Holley | Nurse Practitioner | 3375 Us 60, Huntington, WV 25705 | 2016-02-10 |
1609262930 | Jenny Ann Kerr | Social Worker | 3375 Us Rt 60 East, Huntington, WV 25705 | 2015-04-14 |
1093117566 | Starlight Behavioral Health Services Inc | Community/Behavioral Health | 5315 Cherry Lawn Rd, Huntington, WV 25705 | 2014-09-16 |
Find all providers in zip 25705 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639729353 | Joel Harris | Counselor | 351 Monroe St, Huntington, IN 46750-3262 | 2019-09-14 |
1700431475 | 2 Dawgs Holdings | Counselor | 3228 Riverside Dr, Huntington, WV 25705-1737 | 2019-08-08 |
1457838054 | Tri-state Addiction Recovery Resources | Counselor | 537 Washington Ave, Huntington, WV 25701-1039 | 2018-07-26 |
1487166518 | Karissa Barr | Counselor | 1000 5th Ave Ste 250, Huntington, WV 25701-2238 | 2017-10-30 |
1437502358 | Richard Edward Corwin | Counselor | 220 13th Street, Huntington, WV 25701-1712 | 2016-07-15 |
1972949733 | Herbert B Cohen | Counselor | 81 New St, Huntington, NY 11743-3301 | 2013-05-20 |
1265707103 | Betsy Redd Smith | Counselor | 1202 Fm 1669, Huntington, TX 75949-2918 | 2012-03-10 |
1598991903 | Kimberly Ann Geer | Counselor | 5960 E Pea Ridge Rd Apt 2, 1260 Central Avenue, Huntington, WV 25705-2642 | 2009-06-01 |
1629254347 | Christie A Eastman | Counselor | 1 Prestera Way, Huntington, WV 25705-2069 | 2008-01-11 |
1811100597 | Emily Engelland Wilson, Pllc | Counselor | 2828 1st Ave Ste 203, Huntington, WV 25702-1236 | 2007-05-08 |
Find all providers in HUNTINGTON |
City | HUNTINGTON |
Zip Code | 25705 |
Please comment or provide details below to improve the information on JUSTIN TRAVIS GIBSON.
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.