GREGORY DAVID GIBSON NPI 1386863330

NPI Information

  • NPI: 1386863330
  • Provider Name: GREGORY DAVID GIBSON
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 29520 CANVASBACK DR
    EASTON, MD
    ZIP 21601
  • Phone: (410) 822-5007

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NPI Details

Gregory David Gibson is a counselor in Easton, MD. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Gregory David Gibson NPI is 1386863330. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

29520 CANVASBACK DR
EASTON, MD
ZIP 21601-124
Phone: (410) 822-5007
Fax: (410) 822-5569

The enumeration date for this NPI number is 4/25/2007 and was last updated on 2/20/2015.

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
1101Y00000XCounselorMARYLANDYes

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
1R968OTHERCAREFIRST FEDERAL GROUP
2609500301MEDICAIDMARYLAND
3609500303MEDICAIDMARYLAND
4609500300MEDICAIDMARYLAND
5609550004MEDICAIDMARYLAND
6609550002MEDICAIDMARYLAND
7609550001MEDICAIDMARYLAND
8LM49EAOTHERMARYLANDCAREFIRST BCBS GROUP
9259147000OTHERMARYLANDMAGELLAN GROUP
10517251OTHERUHC MAMSI GROUP

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: 11/21/2025

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