1. Home
  2. Directory
  3. Illinois
  4. Belleville
  5. Counselor
  6. NPI Profile

MS. MARY KATHLEEN GIBBONS L.C.P.C
NPI 1124481312
Counselor - Mental Health in Belleville, IL

Active since April 04, 2016PECOS Enrolled
2900 FRANK SCOTT PKWY W STE 204, BELLEVILLE, IL 62223(618) 398-9850(618) 398-9849 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mary Kathleen Gibbons L.c.p.c NPPES

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

MS. MARY KATHLEEN GIBBONS L.C.P.C (NPI 1124481312) is an individual mental health provider in Belleville, Illinois, licensed in Illinois (180010634) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in O Fallon.

NPPES Registry Identity

NPI1124481312
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. MARY KATHLEEN GIBBONSCredential: L.C.P.C
Location Address2900 FRANK SCOTT PKWY W STE 204Belleville, IL 62223-5000
Mailing Address2900 Frank Scott Pkwy W Ste 204Belleville, IL 62223-5000 · (618) 398-9850 · Fax (618) 398-9849
Phone(618) 398-9850
Fax(618) 398-9849
Sole ProprietorYes
Enumeration DateApril 4, 2016
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1124481312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180010634
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2014044614 (MO), 180010634 (IL)
2900 FRANK SCOTT PKWY W STE 204, Belleville, IL 62223
Open in Google Maps ↗

Other Names 1

Former Name (1)Mary Kathleen Kibort

Secondary Practice Location 1

Location 1785 Wall StO Fallon, IL 62269-1959 · Phone (618) 406-8857

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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)

Ms. Mary Kathleen Gibbons L.c.p.c 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.

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 Mary Gibbons's NPI number?

The NPI number for Mary Gibbons is 1124481312. It was assigned to this individual provider in the NPPES registry on April 4, 2016. The provider is also known as Mary Kathleen Kibort.

Where is Mary Gibbons located?

Mary Gibbons practices at 2900 Frank Scott Pkwy W Ste 204, Belleville, IL 62223. The listed phone number is (618) 398-9850.

What is Mary Gibbons's specialty?

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

Is Mary Gibbons enrolled in Medicare?

Yes. Mary Gibbons is registered in the Medicare PECOS enrollment system.

What insurance does Mary Gibbons accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Mary Gibbons 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 Mary Gibbons was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.