DR. JERRY DEAN GIBSON (NPI# 1174037899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174037899 |
Entity Type | Individual |
Full Name | DR. JERRY DEAN GIBSON |
Credential | M.A., ED.D. LPC, NCC |
Practice Address |
125 Brookdale Dr Morgantown WV 26508-8799 |
Practice Telephone | 3042411108 |
Mailing Telephone | 3042411108 |
Enumeration Date | 2017-11-17 |
Last Update Date | 2017-11-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
2318 | WV | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154774966 | Jerry U. Gibson | Counselor | 8089 Highway 72 W Ste D, Madison, AL 35758-9531 | 2016-07-16 |
1508185554 | Jerry P Gibson | Optometrist | 3140 White Oak Cr, Riverside, IA 52327 | 2010-05-28 |
1962430181 | Jerry Dean Gibson | Anesthesiology | 4000 Spencer Hwy, Pasadena, TX 77504-1202 | 2006-06-28 |
Street Address |
125 BROOKDALE DR |
City | MORGANTOWN |
State | WV |
Zip Code | 26508-8799 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
Find all providers in zip 26508 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821624362 | Layne Hitchcock | Counselor | 36 Gobblers Run, Morgantown, WV 26508-4242 | 2020-03-17 |
1881249381 | Wellness On The Mon, LLC | Counselor | 50 Clay St Ste 3, Morgantown, WV 26501-5944 | 2019-08-02 |
1215435029 | Jerry Dean Gison | Counselor | 125 Brookdale Dr Ste 125, Morgantown, WV 26508-8799 | 2018-01-26 |
1700325685 | Applied Counseling and Consulting Services | Counselor | 3025 Main St, Box 231, Morgantown, PA 19543-7744 | 2017-02-13 |
1215356258 | Women In Balance, LLC | Counselor | 2100 About Town Pl, Suite 300, Morgantown, WV 26508-5840 | 2014-04-07 |
1306270996 | Jessica Laurel Thornton | Counselor | 121 Simpson St, Morgantown, WV 26501-5921 | 2013-08-30 |
1205272879 | Joann Marie Davis Frey | Counselor | 1277 Suncrest Towne Centre, Morgantown, WV 26505 | 2013-05-22 |
1255684403 | Valerie Tenille Stansberry | Counselor | 709 Beechurst Ave Ste 9b, Morgantown, WV 26505-4689 | 2012-10-24 |
1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
1922378934 | Kari Mccrobie Blizzard | Counselor | 165 Scott Ave Ste 228, Morgantown, WV 26508-8839 | 2012-01-06 |
Find all providers in MORGANTOWN |
City | MORGANTOWN |
Zip Code | 26508 |
Please comment or provide details below to improve the information on DR. JERRY DEAN 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.