KATHY GIPSON (NPI# 1548307853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548307853 |
| Entity Type | Individual |
| Full Name | KATHY GIPSON |
| Practice Address |
1505 S Oswego Ave Russellville AR 72802-2673 |
| Mailing Address |
Po Box 679 Morrilton AR 72110-0679 |
| Practice Telephone | 4799673370 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
93-16E | AR | Behavioral Health & Social Service Providers |
| Street Address |
1505 S OSWEGO AVE |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72802-2673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730674250 | Alex Jordan Dorch | Counselor | 1505 S Oswego Ave, Russellville, AR 72802-2673 | 2018-06-27 |
| 1548627565 | James C Harris | Counselor | 1505 S Oswego Ave, Russellville, AR 72802-2673 | 2016-01-21 |
| 1275912263 | Community Service, Inc | Case Manager/Care Coordinator | 1505 S Oswego Ave, Russellville, AR 72802-2673 | 2015-05-22 |
| 1134354400 | Conway County Community Service Inc. | Community/Behavioral Health | 1505 S Oswego Ave, Russellville, AR 72802-2673 | 2009-05-15 |
| 1417192279 | Tanzie Simmons | Behavioral Analyst | 1505 S Oswego Ave, Russellville, AR 72802-2673 | 2008-12-09 |
| 1356586309 | Jennifer Dawn Broussard | Behavioral Analyst | 1505 S Oswego Ave, Russellville, AR 72802-2673 | 2008-12-04 |
| 1902051170 | Kathy Lavern Robberson | Behavioral Analyst | 1505 S Oswego Ave, Russellville, AR 72802-2673 | 2008-12-01 |
| 1295863819 | Timothy Isaac Bostick | Behavioral Analyst | 1505 S Oswego Ave, Russellville, AR 72802-2673 | 2007-03-02 |
| 1821137084 | John Paul Senn | Marriage & Family Therapist | 1505 S Oswego Ave, Russellville, AR 72802-2673 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316587850 | Friends of Freedom House Inc. | Counselor | 404 Lake Front Drive, Russellville, AR 72802 | 2020-01-13 |
| 1922527027 | Sarah Huey | Counselor | 1505 S. Oswego Ave., Russellville, AR 72802 | 2017-09-11 |
| 1437555315 | Laura Easter | Case Manager/Care Coordinator | 1505 S, Oswego Ave., Russellville, AR 72802 | 2014-11-05 |
| 1982005252 | Yariela Borras | Case Manager/Care Coordinator | 1415 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-05 |
| 1477953818 | Kelly Sutton | Case Manager/Care Coordinator | 1505 S. Oswego Avenue, Russellville, AR 72802 | 2014-09-03 |
| 1891080909 | Tera Dacus | Counselor | 1505 S. Oswego Ave, Russellville, AR 72802 | 2011-06-16 |
| 1992034763 | Central Arkansas Surgical Center, LLC | Clinic/Center | 151 East Aspen Ln, Russellville, AR 72802 | 2009-12-08 |
| 1134302854 | Twin Rivers Respiratory Care, Inc | Durable Medical Equipment & Medical Supplies | 1400 S Knoxville Ave, Russellville, AR 72802 | 2007-12-17 |
| 1003945007 | Phyllis Wells | Case Manager/Care Coordinator | 1400 East 16th St, Russellville, AR 72802 | 2007-03-05 |
| 1609902295 | Debi C Day Damron Burns | Case Manager/Care Coordinator | 1402 East 16th St, Russellville, AR 72802 | 2007-02-26 |
| Find all providers in zip 72802 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487207346 | Recovery Health Systems | Counselor | 700 E Parkway Dr, Russellville, AR 72801-4202 | 2019-07-19 |
| 1609429802 | Allison Balentine | Counselor | 15255 Us 43 #3, Russellville, AL 25653 | 2019-07-17 |
| 1851685945 | Heather Alethea Rhodes-hughes | Counselor | 4505 Tanya Cir, Russellville, AR 72802-8559 | 2011-06-06 |
| 1083882906 | Frances Murdock | Counselor | 210 N Shamrock Blvd, Russellville, AR 72802-9658 | 2008-02-13 |
| 1306961495 | Maxus Inc | Counselor | 1310 W Main Street, Suite 100, Russellville, AR 72801 | 2007-03-20 |
| 1144312596 | Cathy George | Counselor | 911 W B St, Russellville, AR 72801-3501 | 2006-09-29 |
| 1588769491 | Richard L Moore | Counselor | 110 Skyline Dr, Russellville, AR 72801-3362 | 2006-09-14 |
| 1144852336 | Janice Reeves | Counselor | 2503 W Main Pl, Russellville, AR 72801-4645 | 2020-02-06 |
| 1720618267 | Chantal Doucet-brice | Counselor | 110 Skyline Dr, Russellville, AR 72801-3362 | 2020-01-23 |
| 1659921914 | Mercedes A Bender | Counselor | 110 Skyline Dr, Russellville, AR 72801-3362 | 2019-09-18 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72802 |
Please comment or provide details below to improve the information on KATHY GIPSON.
| 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.