JUSTIN GEORGE GIBSON (NPI# 1649734997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649734997 |
Entity Type | Individual |
Full Name | JUSTIN GEORGE GIBSON |
Practice Address |
100 N 5th St Hugo OK 74743-4005 |
Mailing Address |
Po Box 105 Bokchito OK 74726-0105 |
Practice Telephone | 5807759191 |
Mailing Telephone | 5807759191 |
Enumeration Date | 2019-01-30 |
Last Update Date | 2019-01-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
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 |
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 |
1588817415 | Justin Travis Gibson | Counselor | 3375 Us Rt 60 E, Huntington, WV 25705-2837 | 2008-10-23 |
Street Address |
100 N 5TH ST |
City | HUGO |
State | OK |
Zip Code | 74743-4005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003060450 | Red River Counseling Center, LLC | Community/Behavioral Health | 100 N 5th St, Hugo, OK 74743-4005 | 2008-11-12 |
1578163002 | Rena Dalke | Counselor | 100 N 5th St, Hugo, OK 74743-4005 | 2020-10-26 |
1417584509 | Logan Iles | Counselor | 100 N 5th St, Hugo, OK 74743-4005 | 2020-03-26 |
1306327374 | Sara A Corsetti | Counselor | 100 N 5th St, Hugo, OK 74743-4005 | 2018-08-27 |
1467815464 | Four Seasons Counseling Services, Inc. | Community/Behavioral Health | 100 N 5th St, Hugo, OK 74743-4005 | 2016-03-29 |
1750762191 | Willard Steven Carter | Counselor | 100 N 5th St, Hugo, OK 74743-4005 | 2015-06-11 |
1679994057 | Skye Broadus-thomas | Counselor | 100 N 5th St, Hugo, OK 74743-4005 | 2014-01-02 |
1770904153 | Judy Jordan | Counselor | 100 N 5th St, Hugo, OK 74743-4005 | 2014-01-02 |
1063852143 | Dana Clark-jenkins | Counselor | 100 N 5th St, Hugo, OK 74743-4005 | 2013-07-03 |
1912347626 | Felisha Morris | Counselor | 100 N 5th St, Hugo, OK 74743-4005 | 2013-06-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053817775 | Emilia Sue Lopez | Registered Nurse | 2008 East 2110 Road, Hugo, OK 74743 | 2018-04-02 |
1144739657 | Healing Hearts Counseling & Consulting, L.L.C. | Clinic/Center | 1212 East Kirk, Hugo, OK 74743 | 2017-09-27 |
1457801177 | Kelli Lemke | Nurse Practitioner | 204 E. Jackson St., Hugo, OK 74743 | 2016-10-05 |
1780040147 | Shabreka Dorshell Coleman | Student in an Organized Health Care Education/Training Program | 1475 North 4220 Road, Grant, OK 74743 | 2016-01-14 |
1063898161 | Jaclyn Deann Rouse | Optometrist | 410 North M Street, Hugo, OK 74743 | 2015-07-31 |
1548519648 | Tori L Fowler | Counselor | 112 W. Jackson, Hugo, OK 74743 | 2012-09-05 |
1174802219 | Malinda Burnett | Counselor | 1100 David Roebuck Lane, Hugo, OK 74743 | 2011-08-08 |
1942591490 | Joshua Asher Tims | Clinic/Center | 1213 E. Jackson St, Hugo, OK 74743 | 2011-05-02 |
1598998320 | Kimberly Dawn Jones | Social Worker | 1717 1/2 West Jackson, Hugo, OK 74743 | 2009-08-27 |
1689812547 | Adeline Youngblood | Counselor | 612 E Jackson, Hugo, OK 74743 | 2009-01-30 |
Find all providers in zip 74743 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790148997 | The Therapy Tree | Counselor | 3519 E Jackson St, Hugo, OK 74743-4042 | 2016-04-04 |
1144643768 | Bonnie Sims | Counselor | 1108 S 3rd St, Hugo, OK 74743-8008 | 2014-02-03 |
1245651538 | Elizabeth Wulf | Counselor | 612 E. Jackson, Hugo, OK 74743-0000 | 2014-01-03 |
1124459359 | Rachel Elizabeth Stringfellow | Counselor | 612 East Jackson, Hugo, OK 74743-0000 | 2013-12-13 |
1548519648 | Tori L Fowler | Counselor | 112 W. Jackson, Hugo, OK 74743 | 2012-09-05 |
1730437310 | Priscillla Gooch | Counselor | 705 West 13th Street, Hugo, OK 74525 | 2012-08-29 |
1891060091 | Courtney Latimore | Counselor | 613 S 10th St, Hugo, OK 74743-4822 | 2012-03-20 |
1720368574 | Jacqueline Kit Pipkin | Counselor | 305 Dorthy Orton Dr, Hugo, OK 74743-1067 | 2011-08-25 |
1497034359 | Jane L Schreurs | Counselor | 1210 E Duke St, Hugo, OK 74743-4216 | 2011-08-10 |
1750660932 | Patricia Ann Richard | Counselor | 300 N E St, Hugo, OK 74743-3208 | 2011-08-05 |
Find all providers in HUGO |
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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.