CARLY R GIBSON
NPI 1023459260
Marriage & Family Therapist in Sacramento, CA
About Carly R Gibson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY R GIBSON (NPI 1023459260) is an individual marriage & family therapist in Sacramento, California, licensed in California (IMF81677) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carly R Gibson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carly Gibson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SACRAMENTO, CA 95820
SACRAMENTO, CA 95820
SACRAMENTO, CA 95820
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carly Gibson's NPI number?
The NPI number for Carly Gibson is 1023459260. It was assigned to this individual provider in the NPPES registry on July 16, 2013.
Where is Carly Gibson located?
Carly Gibson practices at 3671 Business Dr, Sacramento, CA 95820. The listed phone number is (916) 734-8396.
What is Carly Gibson's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Carly Gibson enrolled in Medicare?
Yes. Carly Gibson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carly Gibson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Gibson reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carly Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carly Gibson was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carly R Gibson · NPI 1023459260
Marriage & Family Therapist provider in Sacramento, California. Individual provider, active in the CMS NPPES registry since July 16, 2013.
## Identity
- **NPI:** 1023459260 (Entity type: Individual)
- **Enumerated:** July 16, 2013
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** IMF81677 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3671 BUSINESS DR, Sacramento, CA 95820-2197
- **Phone:** (916) 734-8396
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2022
- **Other identifiers:** Other 1023459260 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1023459260) · Data from the CMS NPPES public registry.