MS. BEVERLY M GIBSON (NPI# 1245543453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245543453 |
| Entity Type | Individual |
| Full Name | MS. BEVERLY M GIBSON |
| Credential | LCADC, CSW |
| Practice Address |
68 Dunmore Avneue Ewing NJ 08618 |
| Mailing Address |
68 Dunmore Ave Ewing NJ 08618-1974 |
| Practice Telephone | 6095779714 |
| Practice Fax Number | 6086711500 |
| Mailing Telephone | 6095779714 |
| Mailing Fax Number | 6096710015 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 44SW00330700 | NJ | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC00032400 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | LCADC, CSW | 37LC00032400 | 01 |
| NJ | CSW | 44SW00330700 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760879787 | Beverly Denise Gibson | Social Worker | 882 Oakman Blvd, Suite D, Detroit, MI 48238-3710 | 2015-04-16 |
| 1801024294 | Beverly Ann Gibson | Nurse Practitioner | 1701 38th St S, Fargo, ND 58103-4499 | 2009-06-24 |
| Street Address |
68 DUNMORE AVNEUE |
| City | EWING |
| State | NJ |
| Zip Code | 08618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457993 | Capitals Pizzeria | Meals | 211 Reverend Howard S. Woodson Way, Trenton, NJ 08618 | 2020-01-30 |
| 1760049738 | Stem Civics, Inc. | Local Education Agency (LEA) | 1555 Pennington Road, Ewing, NJ 08618 | 2019-05-24 |
| 1790255941 | Susan Heather Lake | Nurse Practitioner | 1618 Riverside Drive, Trenton, NJ 08618 | 2018-11-30 |
| 1497138705 | Jennifer Warren | Community Health Worker | 32 Newell Ave, Trenton, NJ 08618 | 2015-07-06 |
| 1447665500 | Avinique Marshall | Community Health Worker | 23 Van Duyn Dr, Ewing, NJ 08618 | 2014-06-27 |
| 1891116646 | Ameen Hasan Abdullah | Counselor | 132 Perry St., Trenton, NJ 08618 | 2013-12-20 |
| 1083042782 | Odelind King Lewis | Social Worker | 321 North Warren Street, Trenton, NJ 08618 | 2013-10-16 |
| 1346595089 | Essential Foot Care PC | Clinic/Center | 1440 Pennington Road, Ewing, NJ 08618 | 2012-07-18 |
| 1386878353 | James C Wadley | Community/Behavioral Health | 312 Masterson Court, Ewing, NJ 08618 | 2009-05-06 |
| 1851537815 | Ilse K Thomas | Physician Assistant | 416 Bellevue Aveune, Suite 104, Trenton, NJ 08618 | 2008-12-22 |
| Find all providers in zip 08618 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245860030 | Supportive Solutions, LLC | Counselor | 795 Parkway Ave, Ewing, NJ 08618-2704 | 2020-01-21 |
| 1841835568 | Emily Suzuki | Counselor | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-11-18 |
| 1811478837 | Illiona Okereke | Counselor | 2000 Pennington Rd, Ewing, NJ 08618-1104 | 2018-08-27 |
| 1295241115 | Alaina Broach | Counselor | 1925 Pennington Rd, Ewing, NJ 08618-1105 | 2017-12-15 |
| 1275044505 | Jordyn Zinman | Counselor | 1925 Pennington Rd, Ewing, NJ 08618-1105 | 2017-10-13 |
| 1891205944 | James Marron | Counselor | 1925 Pennington Rd, Ewing, NJ 08618-1105 | 2017-10-03 |
| 1205354347 | Catherine Mary Snyder | Counselor | 1925 Pennington Rd, Ewing, NJ 08618-1105 | 2017-09-08 |
| 1376089862 | Ashley Craig | Counselor | 1925 Pennington Rd, Ewing, NJ 08618-1105 | 2017-01-09 |
| 1013464783 | William Lowe | Counselor | 1925 Pennington Rd, Ewing, NJ 08618-1105 | 2016-09-09 |
| 1518414713 | Keairra Hayes | Counselor | 1925 Pennington Rd, Ewing, NJ 08618-1105 | 2016-09-06 |
| Find all providers in EWING | ||||
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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.