MR. GIBBS LOUIS ARTHUR JR. (NPI# 1568525210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568525210 |
| Entity Type | Individual |
| Full Name | MR. GIBBS LOUIS ARTHUR JR. |
| Credential | LPC, LMFT, NCC |
| Practice Address |
317 Brook Park Pl Forest VA 24551-2639 |
| Practice Telephone | 4343850573 |
| Practice Fax Number | 4343855317 |
| Mailing Telephone | 4343850573 |
| Mailing Fax Number | 4343855317 |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2008-11-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701001304 | VA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 0717000502 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM PROVIDER NO. | 099808 | 01 |
| VA | 005410584 | 05 | |
| VA | VALUE OPTIONS PROVIDER ID | 178906 | 01 |
| Street Address |
317 BROOK PARK PL |
| City | FOREST |
| State | VA |
| Zip Code | 24551-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558484634 | Karl George Hess | Counselor | 317 Brook Park Pl, Forest, VA 24551-2639 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649832189 | Shiloh Martin | Counselor | 316 Brook Park Pl Ste 1, Forest, VA 24551 | 2019-07-05 |
| 1528536992 | Crossroads Family Dentistry | Dentist | 14761 Forest Road, Forest, VA 24551 | 2018-11-05 |
| 1265941736 | Michel Kay Gage | Specialist/Technologist | 1062 Daltons Dr, Forest, VA 24551 | 2017-09-27 |
| 1740700186 | Advanced Family Interventions LLC | Case Management | 1047 Vista Park Dr, Ste A, Forest, VA 24551 | 2017-06-27 |
| 1255870093 | Family Preservation Services, Inc | Community/Behavioral Health | 12400 E Lynchburg Salem Turnpike, Forest, VA 24551 | 2017-02-13 |
| 1982150116 | Lee Robinson | Physical Therapy Assistant | 208 Gristmill Ave, Forest, VA 24551 | 2016-08-28 |
| 1790178051 | Amanda Kathleen Hundley | Dental Hygienist | 16862 Forest Rd., Forest, VA 24551 | 2015-03-11 |
| 1134512502 | Christine Elise Deschambault | Dental Hygienist | 16862 Forest Road, Forest, VA 24551 | 2015-03-10 |
| 1922403328 | Lucas Brown | Physical Therapist | 1111 Corporate Park Drive, Suite B, Forest, VA 24551 | 2014-10-28 |
| 1073916334 | Shane R. Claiborne, Dds, Pllc | Dentist | 16862 Forest Rd, Forest, VA 24551 | 2014-10-01 |
| Find all providers in zip 24551 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400049 | Latoya Horsley | Counselor | 2107 Graves Mill Rd Ste B, Forest, VA 24551-4293 | 2020-09-04 |
| 1437768934 | Carrie Elizabeth Wamsley | Counselor | 1381 Crossings Center Dr, Forest, VA 24551-4975 | 2020-07-30 |
| 1467080416 | Travis S Butner | Counselor | 316 Brook Park Pl, Forest, VA 24551-2766 | 2020-03-27 |
| 1649832189 | Shiloh Martin | Counselor | 316 Brook Park Pl Ste 1, Forest, VA 24551 | 2019-07-05 |
| 1104237734 | Adam Pavao | Counselor | 104 Homestead Dr, Forest, VA 24551-4884 | 2014-05-16 |
| 1710308861 | Susan K Roehrich LLC | Counselor | 300 Enterprise Dr Ste C, Forest, VA 24551-2732 | 2013-12-16 |
| 1710202213 | Sampada R Desai | Counselor | 1224 Summerpark Dr, Forest, VA 24551-2763 | 2010-03-29 |
| 1275706400 | Dan E. West Jr. | Counselor | 104a Homestead Drive, Forest, VA 24551 | 2008-04-09 |
| 1972126365 | Jarel Brown | Counselor | 316 Brook Park Pl, Forest, VA 24551-2766 | 2020-05-20 |
| 1053956177 | Brittany L Finch | Counselor | 1047 Vista Park Dr Ste A, Forest, VA 24551-4362 | 2019-11-12 |
| Find all providers in FOREST | ||||
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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.