MARY L GIBSON (NPI# 1396955621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396955621 |
| Entity Type | Individual |
| Full Name | MARY L GIBSON |
| Credential | MA |
| Practice Address |
2275 E Cooley Dr Colton CA 92324-6324 |
| Mailing Address |
4575 Little Mountain Dr 27 San Bernardino CA 92407-4917 |
| Practice Telephone | 9093701777 |
| Practice Fax Number | 9093701776 |
| Mailing Telephone | 9095677975 |
| Mailing Fax Number | 9095677975 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2015-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SIMON STAFF NUMBER | 5709 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509662 | Mary Yvette Gibson | Physical Therapy Assistant | 307 Boush St, Roper, NC 27970 | 2019-07-09 |
| 1184003782 | Mary Gibson | Social Worker | 25 Hudson Street, Kinderhook, NY 12106-0543 | 2015-05-28 |
| 1104148030 | Mary Gibson | Nurse's Aide | 2616 Vance Ave, Wheeling, WV 26003-7240 | 2010-02-19 |
| 1912176090 | Mary Hope Gibson | Nurse Practitioner | Moffett Hall Adams Street, Radford University Student Health, Radford, VA 24142 | 2008-02-22 |
| 1699714907 | Mary E Gibson | Nurse Practitioner | 4749 Lincoln Mall Dr Ste 204, Matteson, IL 60443-3806 | 2006-06-05 |
| 1033774286 | Mary Gibson | Pharmacist | 1920 S Chelton Rd, Colorado Springs, CO 80916-5304 | 2019-05-03 |
| 1922583434 | Mary Celeste Gibson | Counselor | 9938 Airline Hwy, Baton Rouge, LA 70816-8193 | 2018-10-01 |
| 1114380920 | Mary Gibson | Counselor | 1088 Wasserman Way, Suite C, Batavia, OH 45103-1974 | 2016-03-30 |
| 1205216579 | Mary Elizabeth Gibson | Orthopaedic Surgery | 1222 S Orange Ave, 5th Floor, Orlando, FL 32806-1215 | 2015-06-02 |
| 1942631874 | Mary Gibson | Registered Nurse | 700 S Parker Dr, Suite 7, Florence, SC 29501-6059 | 2013-12-03 |
| Street Address |
2275 E COOLEY DR |
| City | COLTON |
| State | CA |
| Zip Code | 92324-6324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568522928 | Wchs, Inc. | Counselor | 2275 E Cooley Dr, Colton, CA 92324-6324 | 2006-12-08 |
| 1184255291 | Julisa N Roberts | Counselor | 2275 E Cooley Dr, Colton, CA 92324-6324 | 2020-01-28 |
| 1710497169 | Susan Lynn Brown | Licensed Vocational Nurse | 2275 E Cooley Dr, Colton, CA 92324-6324 | 2017-10-11 |
| 1730607250 | Christina Marie Leedy | Licensed Vocational Nurse | 2275 E Cooley Dr, Colton, CA 92324-6324 | 2017-09-05 |
| 1720509110 | Pamela Fernandez | Licensed Vocational Nurse | 2275 E Cooley Dr, Colton, CA 92324-6324 | 2017-07-06 |
| 1922553122 | Robert Turner Jr. | Counselor | 2275 E Cooley Dr, Colton, CA 92324-6324 | 2016-08-18 |
| 1750739330 | Marva Danielle Thomas | Counselor | 2275 E Cooley Dr, Colton, CA 92324 | 2016-05-24 |
| 1972982692 | Mhelina Duran | Licensed Psychiatric Technician | 2275 E Cooley Dr, Colton, CA 92324-6324 | 2015-05-27 |
| 1609278340 | Evelyn Mae Harris | Licensed Vocational Nurse | 2275 E Cooley Dr, Colton, CA 92324-6324 | 2014-09-25 |
| 1003221565 | Jessica Estrada | Counselor | 2275 E Cooley Dr, Colton, CA 92324-6324 | 2014-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| 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 |
|---|---|---|---|---|
| 1093233298 | Daniel Mendez | Counselor | 1076 Santo Antonio Dr Ste D, Colton, CA 92324-8183 | 2017-09-07 |
| 1235553397 | Jennifer Lopez | Counselor | 790 S Via Lata, Colton, CA 92324 | 2014-02-10 |
| 1093079832 | Maribel Saldivar-martinez | Counselor | 790 Via Lata Ste 250, Colton, CA 92324-3978 | 2012-06-26 |
| 1831368471 | Sabrina Katrina Koperski | Counselor | 300 Palm Ave, Colton, CA 92324-3638 | 2008-02-28 |
| 1194903948 | Lourdes Alissa Lefevre | Counselor | 128 E G St Ste 111, Colton, CA 92324-2943 | 2008-02-04 |
| 1417569070 | Veronica Saenz | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2020-08-17 |
| 1063038271 | Tracy Bussey | Counselor | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-06-23 |
| 1871113548 | Winston James Williams | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2020-04-22 |
| 1801425897 | Melissa Fultz | Counselor | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-04-02 |
| 1497397772 | Maria Torres Aceves | Counselor | 400 N Pepper Ave, Colton, CA 92324-1801 | 2019-10-08 |
| Find all providers in COLTON | ||||
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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.