HEATHER GIBSON LAC
NPI 1063053080
Counselor - Mental Health in Freehold, NJ

Q: What is Heather Gibson's NPI number?

The NPI number for Heather Gibson is 1063053080. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Q: What is Heather Gibson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Heather Gibson was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 01, 2019

3499 RTE 9 STE 2C, FREEHOLD, NJ 07728(732) 982-2888(847) 859-5885 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Heather Gibson Lac NPPES

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

HEATHER GIBSON LAC (NPI 1063053080) is an individual mental health provider in Freehold, New Jersey, licensed in New Jersey (37AC00430500) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1063053080

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameHEATHER GIBSONCredential: LAC

Location Address3499 RTE 9 STE 2CFreehold, NJ 07728-3277

Mailing Address175 E Hawthorn Pkwy Ste 235Vernon Hills, IL 60061-1454 · (847) 737-8768 · Fax (847) 859-5885

Phone(732) 982-2888

Fax(847) 859-5885

Sole ProprietorNo

Enumeration DateOctober 1, 2019

✔ NPI 1063053080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NJ · 37AC00430500

3499 RTE 9 STE 2C, Freehold, NJ 07728

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Other Providers at the Same Location NPPES 4

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

DAPHNE CAMILLE LPC

Counselor (Professional)

3499 RTE 9 STE 2C
FREEHOLD, NJ 07728

Monmouth County (732) 982-2888

STEPHANIE CAPUTO RD

Dietitian, Registered

3499 RTE 9 STE 2C
FREEHOLD, NJ 07728

Monmouth County (732) 982-2888

MELISSA MAYE LAC

Counselor (Mental Health)

3499 RTE 9 STE 2C
FREEHOLD, NJ 07728

Monmouth County (732) 982-2888

DOROTHY KOSZULINSKI LAC

Counselor (Mental Health)

3499 RTE 9 STE 2C
FREEHOLD, NJ 07728

Monmouth County (732) 982-2888

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 Heather Gibson's NPI number?

The NPI number for Heather Gibson is 1063053080. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Where is Heather Gibson located?

Heather Gibson practices at 3499 Rte 9 Ste 2C, Freehold, NJ 07728. The listed phone number is (732) 982-2888.

What is Heather Gibson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Heather Gibson was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.