CIERRA BROOKE GIBSON MSW
NPI 1154054245
Counselor - Mental Health in Fort Wayne, IN

Active since July 06, 2022PECOS Enrolled
2100 GOSHEN RD, FORT WAYNE, IN 46808(260) 471-3500 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cierra Brooke Gibson Msw NPPES

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

CIERRA BROOKE GIBSON MSW (NPI 1154054245) is an individual mental health provider in Fort Wayne, Indiana and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154054245
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCIERRA BROOKE GIBSONCredential: MSW
Location Address2100 GOSHEN RDFort Wayne, IN 46808-1493
Mailing Address2621 E Jefferson StWarsaw, IN 46580-3880 · (574) 267-7169
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 6, 2022
NPPES CertifiedJuly 6, 2022
NPI 1154054245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2100 GOSHEN RD, Fort Wayne, IN 46808

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cierra Brooke Gibson Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496235244
PECOS Enrollment IDI20260219001175
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.

Counselor (Mental Health)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Marriage & Family Therapist
2100 GOSHEN RD
FORT WAYNE, IN 46808
Counselor (Mental Health)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Psychiatry & Neurology (Psychiatry)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Counselor (Mental Health)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Counselor
2100 GOSHEN RD
FORT WAYNE, IN 46808
Social Worker (Clinical)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Counselor
2100 GOSHEN RD
FORT WAYNE, IN 46808

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 Cierra Gibson's NPI number?

The NPI number for Cierra Gibson is 1154054245. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Where is Cierra Gibson located?

Cierra Gibson practices at 2100 Goshen Rd, Fort Wayne, IN 46808. The listed phone number is (260) 471-3500.

What is Cierra Gibson's specialty?

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

Is Cierra Gibson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Cierra Gibson was last updated on July 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.