CHRISTIN J GIBBONS (NPI# 1790061422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790061422 |
| Entity Type | Individual |
| Full Name | CHRISTIN J GIBBONS |
| Credential | LMFT |
| Practice Address |
128 E Olin Ave Suite 100 Madison WI 53713-1467 |
| Practice Telephone | 6083161186 |
| Practice Fax Number | 6082521333 |
| Mailing Telephone | 6083161186 |
| Mailing Fax Number | 6082521333 |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 864-124 | WI | Behavioral Health & Social Service Providers |
| Street Address |
128 E OLIN AVE SUITE 100 |
| City | MADISON |
| State | WI |
| Zip Code | 53713-1467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275501140 | Ted D Izydor | Counselor | 128 E Olin Ave, Suite 100, Madison, WI 53713-1467 | 2006-03-08 |
| 1912377854 | Simone Frame | Speech-Language Pathologist | 128 E Olin Ave, 100, Madison, WI 53713-1467 | 2015-10-05 |
| 1487041828 | Ashley Inez Ball | Marriage & Family Therapist | 128 E Olin Ave, Madison, WI 53713-1467 | 2015-04-23 |
| 1528478286 | Thomas Carroll | Counselor | 128 E Olin Ave, Madison, WI 53713-1467 | 2014-05-04 |
| 1558787770 | Renee Sahagian | Counselor | 128 E Olin Ave, Suite 100, Madison, WI 53713-1467 | 2014-03-12 |
| 1831526219 | Theresa Joy Ditlow | Counselor | 128 E Olin Ave, Madison, WI 53713 | 2013-10-01 |
| 1548505498 | Sarah A Shatz | Social Worker | 128 E Olin Ave, Suite 100, Madison, WI 53713-1467 | 2012-12-04 |
| 1669717500 | Audra J Sulewski | Social Worker | 128 E Olin Ave, Suite 100, Madison, WI 53713-1467 | 2012-12-04 |
| 1982949210 | Jessica E Dingee | Social Worker | 128 E Olin Ave, Suite 100, Madison, WI 53713-1467 | 2012-11-27 |
| 1578846861 | Caroline J Young | Counselor | 128 E Olin Ave, Suite 100, Madison, WI 53713-1467 | 2011-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700494473 | Kelsey Card | Marriage & Family Therapist | 702 N Blackhawk Ave Ste 215, Madison, WI 53705-3357 | 2020-07-20 |
| 1437773736 | Andrew Clayton | Marriage & Family Therapist | 440 Science Dr Ste 300, Madison, WI 53711-1064 | 2020-06-02 |
| 1518580638 | Caitlin Stark | Marriage & Family Therapist | 518 Algoma St, Madison, WI 53704-4813 | 2020-05-22 |
| 1144843772 | Sonya Sebren Summerlin | Marriage & Family Therapist | 17 Peachtree Ln, Madison, MS 39110-9217 | 2020-05-18 |
| 1083241723 | Tammey Rooney | Marriage & Family Therapist | 4 Grove Ave, Madison, CT 06443-3225 | 2020-03-24 |
| 1639702970 | Sheila Jane Mccabe | Marriage & Family Therapist | 1205 Saunders Ave, Madison, TN 37115-5118 | 2020-02-14 |
| 1881232189 | Redwood Family Therapy LLC | Marriage & Family Therapist | 6402 Odana Rd Ste 106, Madison, WI 53719-1123 | 2019-12-17 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1457993057 | Joseph Stephen Leonard | Marriage & Family Therapist | 8025 Excelsior Dr Ste 110, Madison, WI 53717-2902 | 2019-10-15 |
| 1720637507 | Mikayla T Phan | Marriage & Family Therapist | 437 S Yellowstone Dr Ste 212, Madison, WI 53719-1061 | 2019-09-05 |
| Find all providers in MADISON | ||||
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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.