ALEX GIBSON (NPI# 1902353360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902353360 |
| Entity Type | Individual |
| Full Name | ALEX GIBSON |
| Credential | M.A. |
| Practice Address |
107 Carpenter Dr Ste 210 Sterling VA 20164-4468 |
| Practice Telephone | 7032974368 |
| Practice Fax Number | 5715127955 |
| Mailing Telephone | 7032974368 |
| Mailing Fax Number | 5715127955 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2018-03-17 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 102 Heritage Way Ne Ste 302, Leesburg, VA 201764544 | 7037715100 | 7037770170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508394065 | Alex James Gibson | Clinic/Center | 1005 Midwestern Pkwy, Wichita Falls, TX 76302-2211 | 2017-05-30 |
| Street Address |
107 CARPENTER DR STE 210 |
| City | STERLING |
| State | VA |
| Zip Code | 20164-4468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134732969 | Stephanie Vinnikov | Counselor | 107 Carpenter Dr Ste 210, Sterling, VA 20164-4468 | 2020-08-31 |
| 1912555095 | Holly Ellis | Psychologist | 107 Carpenter Dr Ste 210, Sterling, VA 20164-4468 | 2019-08-31 |
| 1689132557 | Laeli Sharifi | Behavior Technician | 107 Carpenter Dr Ste 210, Sterling, VA 20164-4468 | 2019-03-08 |
| 1124598115 | Michael Arthur | Psychologist | 107 Carpenter Dr Ste 210, Sterling, VA 20164-4468 | 2018-12-03 |
| 1609356799 | Ashley Lucinda Scott | Psychologist | 107 Carpenter Dr Ste 210, Sterling, VA 20164-4468 | 2018-08-17 |
| 1336629583 | Krina Patel | Psychologist | 107 Carpenter Dr Ste 210, Sterling, VA 20164 | 2018-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255962239 | Ying Jiu Liu | Acupuncturist | 45665 W Church Rd #110 Stering, Stering, VA 20164 | 2020-01-29 |
| 1417599986 | Nab Homecare, Inc. | In Home Supportive Care | 45640 Willow Pond Plaza, Suite 100, Sterling, VA 20164 | 2019-10-16 |
| 1962905323 | Grace A Oluwadiya | Registered Nurse | 21335 Signal Hill Plaza, Suite 270, Sterling, VA 20164 | 2018-03-13 |
| 1922468602 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21399 Epicerie Plaza, Sterling, VA 20164 | 2016-02-24 |
| 1942625603 | Totalmobility LLC | Durable Medical Equipment & Medical Supplies | 201 Davis Drive, Suite Nn, Sterling, VA 20164 | 2014-03-04 |
| 1346689189 | Traci Collier | Pharmacist | 22375 Davis Dr, Sterling, VA 20164 | 2013-06-14 |
| 1770842536 | Costco Pharmacy 218 | Clinic/Center | 21398 Price Cascades Plaza, Sterling, VA 20164 | 2012-05-14 |
| 1922371426 | Totalmobility, LLC | Durable Medical Equipment & Medical Supplies | 111k Carpenter Drive, Sterling, VA 20164 | 2012-02-14 |
| 1750676789 | Sheikh M Rasul | Pharmacist | 20600 Great Falls Plaza, Sterling, VA 20164 | 2011-06-17 |
| 1932260114 | Veena Railan | Family Medicine | 101 E.holly Avenue, Unit 9, Sterling, VA 20164 | 2006-12-12 |
| Find all providers in zip 20164 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144838301 | Amanda Morrow Badar | Counselor | 22375 Broderick Dr Ste 125, Sterling, VA 20166-9345 | 2020-07-14 |
| 1063980803 | Susan Michelle Thompson | Counselor | 1606 16th Ave, Sterling, IL 61081-2671 | 2018-11-09 |
| 1013498237 | Chenel Mann | Counselor | 21351 Gentry Dr Ste 250, Sterling, VA 20166-8514 | 2018-08-25 |
| 1134648678 | Seek Serenity | Counselor | 43676 Trade Center Pl, Sterling, VA 20166-2182 | 2017-09-15 |
| 1942749163 | April Parker | Counselor | 21641 Ridgetop Cir Ste 210, Sterling, VA 20166-6597 | 2017-02-21 |
| 1396102794 | Jamie Soucie | Counselor | 330 W. Maint St. Ste B, Sterling, CO 80751 | 2016-01-15 |
| 1407222078 | Kellie Tucker | Counselor | 46950 Community Plz Ste 211, Sterling, VA 20164-1814 | 2015-08-18 |
| 1558754853 | Julie Alanna Holgate | Counselor | 46950 Community Plz, 211, Sterling, VA 20164-1814 | 2015-03-10 |
| 1457512980 | Heather Whitney | Counselor | 6 Glendale Ave, Sterling, MA 01564-1415 | 2008-06-18 |
| 1053437988 | Daniel D Little | Counselor | 803 W 5th St, Sterling, IL 61081-3322 | 2007-03-22 |
| Find all providers in STERLING | ||||
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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.