MR. DERRICK COURTNEY GIBSON (NPI# 1679753842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679753842 |
| Entity Type | Individual |
| Full Name | MR. DERRICK COURTNEY GIBSON |
| Credential | M.S LPC |
| Practice Address |
2 Chateau Ln Barboursville WV 25504-1626 |
| Mailing Address |
97 Great Teays Blvd Suite 6 Scott Depot WV 25560-9815 |
| Practice Telephone | 3047369662 |
| Practice Fax Number | 3047330079 |
| Mailing Telephone | 3047576999 |
| Mailing Fax Number | 3042015019 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2019-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1618 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | STATE LICENSE | 1618 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 116 Hills Plz, Charleston, WV 253872438 | 3047204466 | 3047204821 |
| 812 Park Ave # 35, Charleston, WV 253022524 | 6812655085 | 6812655086 |
| 1500 Greenbrier St # 160, Charleston, WV 253111007 | 3044007876 | 3047204821 |
| Street Address |
2 CHATEAU LN |
| City | BARBOURSVILLE |
| State | WV |
| Zip Code | 25504-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205897402 | Phillip R Spangler | Psychiatry & Neurology | 2 Chateau Ln, Barboursville, WV 25504-1626 | 2006-03-29 |
| 1447618327 | Womencare Inc | Clinic/Center | 2 Chateau Ln, Barboursville, WV 25504-1626 | 2016-02-05 |
| 1932488939 | Barboursville Urgent Care Inc. | Clinic/Center | 2 Chateau Ln, Barboursville, WV 25504-1626 | 2011-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143115 | Jeff Thomas Slone | Technician | 3350 Holland Creek Road, Barboursville, WV 25504 | 2020-10-30 |
| 1134679061 | Ryan Young | Pharmacist | 6350 Us Route 60 East, Barboursville, WV 25504 | 2016-10-04 |
| 1447706361 | Jennifer M Bruce | Nurse Anesthetist, Certified Registered | 5840 Davis Creek Rd. Suite E, Barboursville, WV 25504 | 2016-08-31 |
| 1528447794 | Susan Berry | Licensed Practical Nurse | 1 Ohanlon Place, Barboursville, WV 25504 | 2015-05-21 |
| 1902209067 | Eric W Kutcher | Nurse Anesthetist, Certified Registered | 5840 Davis Creek Road Suite E, Barboursville, WV 25504 | 2014-10-03 |
| 1275940843 | Alex G Smith | Nurse Anesthetist, Certified Registered | 5840 Davis Creek Road, Suite E, Barboursville, WV 25504 | 2014-07-16 |
| 1225451297 | Carol Newlon | Counselor | 689 Central Avenue, Barboursville, WV 25504 | 2014-01-28 |
| 1598003386 | Amy E Crabtree | Pharmacist | 6414 Us 60 East, Barboursville, WV 25504 | 2013-01-29 |
| 1538428669 | Amy Beth Cope | Physician Assistant | 6171 Childers Road, Barboursville, WV 25504 | 2012-05-09 |
| 1508167867 | Tara J. Robinson | Dermatology | 6007 U.S.rt 60 E., Suite 130, Barboursville, WV 25504 | 2010-11-03 |
| Find all providers in zip 25504 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689064131 | David Allen Nelson | Counselor | 113 Setzer Dr, Barboursville, WV 25504-1123 | 2015-02-04 |
| 1225451297 | Carol Newlon | Counselor | 689 Central Avenue, Barboursville, WV 25504 | 2014-01-28 |
| 1659627958 | Teena M. Bryson | Counselor | 1260 Central Ave, Barboursville, WV 25504-2111 | 2012-07-24 |
| 1790080307 | Midland Behavioral Health, Inc. | Counselor | 3450 Rt. 60 East, Barboursville, WV 25504-1609 | 2011-01-13 |
| 1346206901 | Leonard I Tuchyner | Counselor | 5648 Flintstone Drive, Barboursville, VA 22923 | 2006-04-24 |
| 1952800856 | Robin L Longstreth | Counselor | 3450 Us Route 60 E, Barboursville, WV 25504-1609 | 2018-02-06 |
| 1063881613 | Tyler R Burns | Counselor | 6171 Childers Rd, Barboursville, WV 25504 | 2015-09-24 |
| 1053696765 | Sharla Meade | Counselor | 3450 Us Route 60 E, Barboursville, WV 25504-1609 | 2011-10-13 |
| 1942596945 | Sherry Lynn Hoffman | Counselor | 3450 Us Route 60 E, Barboursville, WV 25504-1609 | 2011-06-28 |
| 1447481445 | Sheree Lynn Overfelt | Counselor | 689 Central Ave, Barboursville, WV 25504-1315 | 2009-08-07 |
| Find all providers in BARBOURSVILLE | ||||
| City | BARBOURSVILLE |
| Zip Code | 25504 |
Please comment or provide details below to improve the information on MR. DERRICK COURTNEY 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.