MR. JASON LEE GIBSON (NPI# 1699030858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699030858 |
| Entity Type | Individual |
| Full Name | MR. JASON LEE GIBSON |
| Credential | LPC |
| Practice Address |
1820 Glynwood Dr Suite B Prattville AL 36066-8500 |
| Mailing Address |
624 Vintage Way Prattville AL 36067-6620 |
| Practice Telephone | 3343582455 |
| Practice Fax Number | 3344912456 |
| Mailing Telephone | 3347995154 |
| Mailing Fax Number | 3344912456 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2808 | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689993438 | Jason Gibson | Chiropractor | 10080 E Us Highway 36 Ste B, Avon, IN 46123-8174 | 2010-05-19 |
| 1275034167 | Jason Wilde Gibson | Physical Therapist | 7800 W Outer Dr, Detroit, MI 48235-3461 | 2018-02-26 |
| 1730586645 | Jason Gibson | Pharmacist | 221 Glimcher Dr, Duncansville, PA 16635-9415 | 2014-11-21 |
| 1437597135 | Jason C Gibson | Registered Nurse | 501 Caldwell Ln, Dunbar, WV 25064-2026 | 2013-06-05 |
| Street Address |
1820 GLYNWOOD DR SUITE B |
| City | PRATTVILLE |
| State | AL |
| Zip Code | 36066-8500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043448566 | Laura Murfee Brown | Counselor | 1820 Glynwood Dr, Suite B, Prattville, AL 36066-8500 | 2009-06-23 |
| 1386033256 | Carrie Wells | Social Worker | 1820 Glynwood Dr, Ste B, Prattville, AL 36066-5533 | 2015-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053856591 | Camellia Hospice of South Alabama, LLC | Hospice Care, Community Based | 1807 Station Dr Ste B, Prattville, AL 36066 | 2016-12-19 |
| 1265805550 | Alabama Dental Professionals, PC | Dentist | 2489 Cobbs Ford Road, Prattville, AL 36066 | 2015-11-09 |
| 1407243645 | Drayer Physical Therapy-alabama, LLC | Physical Therapist | 2703 Legends Parkway, Prattville, AL 36066 | 2015-04-24 |
| 1225396203 | Kristin Taylor | Occupational Therapist | 635 Mcqueen Smith Road, Suite D, Prattville, AL 36066 | 2012-04-27 |
| 1164796959 | Glynwood Park Dental Care | Dentist | 1831 Glynwood Drive, Prattville, AL 36066 | 2012-02-27 |
| 1790068757 | Jason Duane Weaver | Physical Therapist | 1824 Glynwood Drive, Prattville, AL 36066 | 2011-09-26 |
| 1982931499 | Health Star Inc | Chiropractor | 2441 Cobbs Ford Road, Prattville, AL 36066 | 2009-11-05 |
| 1023101698 | Drs. Tatum and Walker, L.L.C. | Dentist | 597 South Memorial Drive, Prattville, AL 36066 | 2006-10-02 |
| 1730290693 | Shalini Goswami | Internal Medicine | 1294 E Main St, Prattville, AL 36066 | 2006-08-31 |
| 1407860380 | Robert Allen Avery | Internal Medicine | 645 Mcqueen Smith Rd N Ste 207, Prattville, AL 36066 | 2006-07-28 |
| Find all providers in zip 36066 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113302 | William Walker | Counselor | 1899 County Road 107, Prattville, AL 36066-6748 | 2020-01-10 |
| 1669943668 | Robert Pasley | Counselor | 1805 Edinburgh St, Prattville, AL 36066-3641 | 2018-12-17 |
| 1619497484 | La Keicia Franeshun Boyd | Counselor | 353 Bent Tree Dr, Prattville, AL 36067-2539 | 2017-06-22 |
| 1144686619 | Lauren Melissa Carlisle Golden | Counselor | 138 S Washington St # 105, Prattville, AL 36067-3120 | 2016-01-13 |
| 1649544453 | Ellis Counseling LLC | Counselor | 1820 Glynwood Dr Ste B, Prattville, AL 36066-5533 | 2012-02-27 |
| 1730492596 | Christina Rose Lacy | Counselor | 1561 Hawthorne Ln, Prattville, AL 36066-7344 | 2010-07-22 |
| 1194051359 | Melva W Turner | Counselor | 114 Walker St, Prattville, AL 36066-5224 | 2009-10-22 |
| 1043448566 | Laura Murfee Brown | Counselor | 1820 Glynwood Dr, Suite B, Prattville, AL 36066-8500 | 2009-06-23 |
| 1447340666 | Martha Bruner Ellis | Counselor | 698 Silver Hills Dr, Prattville, AL 36066-6184 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506874 | Leah Chapman Braue | Counselor | 3420 Fairway Dr, Trussville, AL 35173-5122 | 2020-10-21 |
| 1447859368 | Luther Graham Bufford | Counselor | 119 Shades Crest Rd, Hoover, AL 35226-1011 | 2020-10-21 |
| 1396344602 | H.o.p.e. Counseling and Consulting, LLC | Counselor | 820 S. University Blvd Ste. 4-f, Mobile, AL 36609-3660 | 2020-10-19 |
| 1437758802 | Cori C Ray | Counselor | 1025 Montgomery Hwy Ste 210, Vestavia Hills, AL 35216-2830 | 2020-10-18 |
| 1871191262 | Leslie N Weaver | Counselor | 656 Townsend Circle, Chickasaw, Alabama, AL 36611 | 2020-10-16 |
| 1134727266 | Jessica Lea Hawken | Counselor | 202 Britt Dr, Enterprise, AL 36330-7882 | 2020-10-12 |
| 1225635196 | Angel's Pond Counseling | Counselor | 208 Searcy St, Enterprise, AL 36330-2739 | 2020-10-05 |
| 1144827031 | Marable Counseling & Consulting Services, LLC | Counselor | 400 Century Park S Ste 106, Birmingham, AL 35226-3925 | 2020-10-05 |
| 1023624590 | Lovett Counseling LLC | Counselor | 1025 Montgomery Hwy Ste 208, Vestavia Hills, AL 35216-2830 | 2020-09-21 |
| 1841806585 | Elaine K Young | Counselor | 674 Provence Drive, Vestavia, AL 35242-2288 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | PRATTVILLE |
| Zip Code | 36066 |
Please comment or provide details below to improve the information on MR. JASON LEE 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.