NICOLE MARIE GIBSON (NPI# 1114438611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114438611 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE GIBSON |
| Credential | CASAC-T |
| Practice Address |
321 W Onondaga St Syracuse NY 13202-3207 |
| Mailing Address |
133 Mckinley Ave Syracuse NY 13205-1513 |
| Practice Telephone | 3154780610 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
31404 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649641218 | Nicole Alyssa Gibson | Counselor | 719 Klemont Ave, Pittsburgh, PA 15202-1132 | 2015-10-08 |
| 1295211449 | Nicole Gibson | Pharmacist | 11550 Page Service Dr, Saint Louis, MO 63146-3531 | 2018-07-11 |
| 1538532106 | Nicole Gibson | Counselor | 315 S College Rd Ste 100, Lafayette, LA 70503-3213 | 2015-11-04 |
| 1780065235 | Nicole Marie Gibson | Speech-Language Pathologist | 2001 N Kingshighway St, Cape Girardeau, MO 63701-2127 | 2015-06-10 |
| 1790070712 | Nicole Lee Gibson | Dental Hygienist | 1406 N Azusa Ave, Unit #c, Covina, CA 91722-1257 | 2011-06-17 |
| 1982856860 | Nicole Gibson | Physical Therapy Assistant | 420 Pulaski Dr, Pottsville, PA 17901-3634 | 2008-10-22 |
| 1912037425 | Nicole Dionne Gibson | Marriage & Family Therapist | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2007-03-06 |
| 1366480139 | Nicole Gibson | Nurse Practitioner | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2006-06-03 |
| Street Address |
321 W ONONDAGA ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13202-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174715114 | Zsuzsa Szombathyne Meszaros | Psychiatry & Neurology | 321 W Onondaga St, Suite 201, Syracuse, NY 13202-3207 | 2007-08-14 |
| 1710593090 | Sarah Rose Bennett | Social Worker | 321 W Onondaga St, Syracuse, NY 13202-3262 | 2020-09-22 |
| 1447865613 | Jaclyn Abbott | Counselor | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2020-09-14 |
| 1407461924 | Jillian Colby Deland | Social Worker | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2020-09-11 |
| 1760011829 | Kyle David Holst | Peer Specialist | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2020-04-02 |
| 1114560182 | Michelle Kluczinske | Registered Nurse | 321 W Onondaga St, Syracuse, NY 13202-3262 | 2019-10-23 |
| 1730736711 | Nicole A Wenham | Counselor | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2019-08-23 |
| 1871148486 | Joshua David Salvage | Student in an Organized Health Care Education/Training Program | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2019-08-09 |
| 1659923845 | Alyssa Lynn Swierk | Social Worker | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2019-07-09 |
| 1497314728 | Jessica Kish | Counselor | 321 W Onondaga St, Syracuse, NY 13202-3262 | 2019-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255804456 | Lisa Blachford | Registered Nurse | 421 Montgomery St Room 80, Syracuse, NY 13202 | 2019-01-10 |
| 1851873640 | Syracuse Community Health Center, Inc. | Case Management | 819 South Salina Street, Syracuse, NY 13202 | 2018-08-29 |
| 1245739713 | Telibra Lloyd | Counselor | 375 W Onondaga St Suite 10, Syracuse, NY 13202 | 2018-02-09 |
| 1326574534 | Wendell Covell | Social Worker | 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 | 2017-05-08 |
| 1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
| 1427429760 | Joshua Caryl | Counselor | 319 East Water Street, Syracuse, NY 13202 | 2015-10-13 |
| 1093140956 | Jennifer B Mccaffrey | Nurse Practitioner | 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 | 2013-09-11 |
| 1336581552 | Emily Renee Haggerty | Hospitalist | 500 Harrison St, 1705a, Syracuse, NY 13202 | 2013-07-30 |
| 1134470933 | Tanya Marie Harlec Mcguire | Genetic Counselor, MS | 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 | 2012-09-20 |
| 1104176320 | Mary Jo Maestri | Genetic Counselor, MS | 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 | 2012-09-14 |
| Find all providers in zip 13202 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013411552 | Christopher Paul Mayer | Clinic/Center | 311 Male Ave, Syracuse, NY 13219-1001 | 2018-03-20 |
| 1497252563 | Onondaga Case Management Services Inc. | Clinic/Center | 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 | 2018-04-06 |
| 1821491903 | Central New York Services, Inc. | Clinic/Center | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2014-10-02 |
| 1467615377 | Jennifer Fuller | Clinic/Center | 1045 James St, Syracuse, NY 13203-2730 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467069302 | Morning Dew Therapy, LLC | Clinic/Center | 370 Westchester Ave Apt 6u, Port Chester, NY 10573-3647 | 2020-09-24 |
| 1104430263 | Annmarie Johnson-rowe Np In Psychiatry | Clinic/Center | 14240 249th St, Rosedale, NY 11422-2144 | 2020-09-04 |
| 1700499381 | Tabitha Gonzalez Licensed Mental Health Counseling Pllc | Clinic/Center | 100 S Bedford Rd Ste 340321, Mount Kisco, NY 10549-3425 | 2020-08-25 |
| 1639791924 | Sanctuary Aso LLC | Clinic/Center | 57 W 57th St Ste 1101, New York, NY 10019-2814 | 2020-05-11 |
| 1740810282 | Therapeutic Solutions Ltd | Clinic/Center | 42 Main St Ste 201, Nyack, NY 10960-3204 | 2020-01-23 |
| 1548802770 | Christopher Bandini, Inc | Clinic/Center | 303 5th Ave Rm 1703, New York, NY 10016-6641 | 2019-10-09 |
| 1386290856 | Discovery Mental Health Counseling | Clinic/Center | 202 Saint Nicholas Ave, Brooklyn, NY 11237-5883 | 2019-08-12 |
| 1407418379 | Housing Works Services, Inc. | Clinic/Center | 743- East 9th Street, Omh Department, New York, NY 10009 | 2019-07-01 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1346706793 | North Shore Services | Clinic/Center | 175 E Main St Ste 109, Huntington, NY 11743-2954 | 2019-02-11 |
| Find all providers with the same taxonomy | ||||
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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.