JASMINE GIBSON NPI 1265152102

NPI Information

NPI: 1265152102
Provider Name: JASMINE GIBSON
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
100 W WALNUT ST STE 375
PASADENA, CA
ZIP 91124
Phone: (626) 395-7100
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Jasmine Gibson is a mental health counselor in Pasadena, CA. Jasmine Gibson NPI is 1265152102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 W WALNUT ST STE 375
PASADENA, CA
ZIP 91124-001
Phone: (626) 395-7100

The enumeration date for this NPI number is 8/31/2022 and was last updated on 9/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical			No
2	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	109650	OTHER	CALIFORNIA	CALIFORNIA BOARD OF BEHAVIORAL SCIENCES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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