STEFAN GIBSON
NPI 1063986891
Counselor - Professional in Phoenix, AZ

Active since January 15, 2019PECOS Enrolled
3033 N CENTRAL AVE STE 700, PHOENIX, AZ 85012(602) 230-7373 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 27, 2025, Jan 15, 2019 (2 updates tracked since 2019).

About Stefan Gibson NPPES

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

STEFAN GIBSON (NPI 1063986891) is an individual professional provider in Phoenix, Arizona and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1063986891
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSTEFAN GIBSON
Location Address3033 N CENTRAL AVE STE 700Phoenix, AZ 85012-2806
Mailing Address2111 E Highland Ave Ste B200Phoenix, AZ 85016-4741 · (602) 855-0445
Sole ProprietorYes
Enumeration DateJanuary 15, 2019
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
NPI 1063986891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
3033 N CENTRAL AVE STE 700, Phoenix, AZ 85012

Secondary Practice Location 1

Location 12111 E Highland Ave Ste B200Phoenix, AZ 85016-4741 · Phone (602) 855-0445

Accepted 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)

Stefan Gibson 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 20

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

Social Worker (Clinical)
3033 N CENTRAL AVE STE 700
PHOENIX, AZ 85012
Counselor
3033 N CENTRAL AVE STE 700
PHOENIX, AZ 85012
Counselor (Professional)
3033 N CENTRAL AVE STE 700
PHOENIX, AZ 85012
Counselor (Mental Health)
3033 N CENTRAL AVE STE 700
PHOENIX, AZ 85012
Registered Nurse
3033 N CENTRAL AVE STE 700
PHOENIX, AZ 85012
Counselor (Professional)
3033 N CENTRAL AVE STE 700
PHOENIX, AZ 85012
Counselor (Professional)
3033 N CENTRAL AVE STE 700
PHOENIX, AZ 85012
Registered Nurse
3033 N CENTRAL AVE STE 700
PHOENIX, AZ 85012

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 Stefan Gibson's NPI number?

The NPI number for Stefan Gibson is 1063986891. It was assigned to this individual provider in the NPPES registry on January 15, 2019.

Where is Stefan Gibson located?

Stefan Gibson practices at 3033 N Central Ave Ste 700, Phoenix, AZ 85012. The listed phone number is (602) 230-7373.

What is Stefan Gibson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Stefan Gibson enrolled in Medicare?

Yes. Stefan Gibson is registered in the Medicare PECOS enrollment system.

What insurance does Stefan Gibson accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Stefan Gibson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stefan Gibson was last updated on February 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.