CHERYL K. GIBSON (NPI# 1609362490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609362490 |
| Entity Type | Individual |
| Full Name | CHERYL K. GIBSON |
| Credential | LPCA, LCADC |
| Practice Address |
86 Highway 638 Ste 1 Manchester KY 40962-7289 |
| Practice Telephone | 6065980070 |
| Practice Fax Number | 8442731765 |
| Mailing Telephone | 6065980070 |
| Mailing Fax Number | 8442731765 |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
248391 | KY | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
242173 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100646500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 375 Town Branch Rd Ste 2, Manchester, KY 409621326 | 6065980439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503012 | Cheryl Ann Gibson | Registered Nurse | 919 E Highland Rd, Oak Leaf, TX 75154-5829 | 2019-02-06 |
| 1134371180 | Cheryl L. Gibson | Nurse Practitioner | 8911 Lakewood Dr Ste 13, Windsor, CA 95492-7857 | 2008-10-21 |
| 1124073317 | Cheryl A Gibson | Obstetrics & Gynecology | 1775 Williston Rd Ste 110, South Burlington, VT 05403-6491 | 2006-05-24 |
| 1881068211 | Cheryl Gibson | Counselor | 1814 Clairmont Rd, Decatur, GA 30033-3405 | 2015-11-23 |
| 1386050110 | Cheryl Gibson | Registered Nurse | 2900 Spring Hill Ave, Mobile, AL 36607-1822 | 2014-07-01 |
| 1881015386 | Cheryl Gibson | Occupational Therapist | 4560 Se International Way, Milwaukie, OR 97222-4628 | 2013-12-30 |
| 1619084134 | Cheryl Gibson | Counselor | 3367 Hwy 119 N, Mayking, KY 41837 | 2006-08-23 |
| Street Address |
86 HIGHWAY 638 STE 1 |
| City | MANCHESTER |
| State | KY |
| Zip Code | 40962-7289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184935348 | Reva Renee Hacker | Counselor | 86 Highway 638 Ste 1, Manchester, KY 40962-7289 | 2010-06-23 |
| 1427525005 | Jessie Weaver | Counselor | 86 Highway 638 Ste 1, Manchester, KY 40962-7289 | 2018-10-31 |
| 1396238051 | Bouncing Back Counseling Inc | Substance Abuse Rehabilitation Facility | 86 Highway 638 Ste 1, Manchester, KY 40962-7289 | 2018-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392356 | Angela Woods | Speech-Language Pathologist | 96 Woods Rd, Manchester, KY 40962 | 2017-08-15 |
| 1346627296 | Betty Alevras | Nurse Practitioner | 21 Crestview Drive, 204 Town Branch Road, Manchester, KY 40962 | 2015-04-29 |
| 1740525773 | Clay Community Pharmacy LLC | Pharmacy | 118 Clay Co S/c, Manchester, KY 40962 | 2012-12-03 |
| 1669758579 | Becky F Stubblefield | Nurse Practitioner | 65 Glenndale Drive, Manchester, KY 40962 | 2011-10-25 |
| 1891022315 | Sabrina Nicole Hacker | Occupational Therapist | 376 Manchester Square Shopping Centre, Manchester, KY 40962 | 2009-11-04 |
| 1114102167 | H&n Drug | Durable Medical Equipment & Medical Supplies | 515 Memorial Dr., Suite 2, Manchester, KY 40962 | 2008-01-08 |
| 1598944043 | Cumberland Valley Dist. Health Dept | Public Health or Welfare | 1983 Hwy 421, Manchester, KY 40962 | 2007-11-01 |
| 1023223203 | Dinah Lynn Sowders | Speech-Language Pathologist | 561 Mill Pond Drive, Manchester, KY 40962 | 2007-05-11 |
| 1104965300 | American Health Management, Inc. | Case Management | 2609 Hwy 80, Manchester, KY 40962 | 2007-02-05 |
| 1306902572 | Manchester Pharmacist Group LLC | Durable Medical Equipment & Medical Supplies | 415 Richmond Road, Unit B, Manchester, KY 40962 | 2006-12-29 |
| Find all providers in zip 40962 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891843 | Faithanne Blue | Counselor | 60 Rogers St Unit 1, Manchester, NH 03103-5070 | 2020-11-05 |
| 1073129367 | Deborah Lynn Bowles-lee | Counselor | 1541 Sainville Rd, Manchester, TN 37355-6248 | 2020-09-22 |
| 1477199081 | Helping Hands Outreach Ministries, Inc. | Counselor | 50 Lowell St, Manchester, NH 03101-1635 | 2019-11-19 |
| 1710538673 | Samantha Corinne Boutsianis | Counselor | 206 Jewett St Apt 2b, Manchester, NH 03103-2879 | 2019-09-23 |
| 1306493531 | Mackenzie Ryan Seely | Counselor | 293 Wilson Street, 3rd Floor, Manchester, NH 03103-5021 | 2019-08-22 |
| 1174178743 | Melissa Ann Kimball | Counselor | 60 Rogers St Unit 204, Manchester, NH 03103-5070 | 2019-08-09 |
| 1871145086 | Healthy Solutions | Counselor | 643 Main Street, Manchester, CT 06084 | 2019-07-09 |
| 1629639034 | Mano-en-mano Hand In Hand,llc | Counselor | 843 Main St Ste 10, Manchester, CT 06040-6041 | 2019-06-26 |
| 1619432994 | Michelle Lee Poulin | Counselor | 303 Belmont St, Manchester, NH 03103-4311 | 2019-01-31 |
| 1770056632 | Joan Catharine Sementa | Counselor | Sununu Youth Center, 1056 River Road, Manchester, NH 03104-0305 | 2019-01-03 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 40962 |
Please comment or provide details below to improve the information on CHERYL K. 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.