MISS SHATANGELA GIBBS LPC - NPI 1013574037 - Counselor in Bloomfield Hills, MI

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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About Miss Shatangela Gibbs Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS SHATANGELA GIBBS LPC (NPI 1013574037) is an individual professional provider in Bloomfield Hills, Michigan, licensed in Michigan (6401019167) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Troy.

NPPES Registry Identity

NPI1013574037

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMISS SHATANGELA GIBBSCredential: LPC

Location Address7 W SQUARE LAKE RDBloomfield Hills, MI 48302-0462

Mailing Address7 W Square Lake RdBloomfield Hills, MI 48302-0462 · (248) 221-2699

Phone(248) 221-2699

Sole ProprietorYes

Enumeration DateMay 24, 2019

Last NPPES UpdateMay 18, 20213 updates tracked since enumeration

NPPES CertifiedMay 18, 2021

✔ NPI 1013574037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in MI · 6401019167✔ Licensed in MI · 6401017177

7 W SQUARE LAKE RD, Bloomfield Hills, MI 48302

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Secondary Practice Location 1

Location 11777 Axtell Dr Ste 100Troy, MI 48084-4400 · Phone (586) 214-2720

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Shatangela Gibbs Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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