DR. JERRY DEAN GIBSON M.A., ED.D. LPC, NCC
NPI 1174037899
Counselor - Professional in Princeton, WV

Q: What is Jerry Gibson's NPI number?

The NPI number for Jerry Gibson is 1174037899. It was assigned to this individual provider in the NPPES registry on November 17, 2017.

Q: What is Jerry Gibson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jerry Gibson was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 17, 2017

109 THORN ST STE E, PRINCETON, WV 24740(304) 487-9996(833) 488-1901 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 16, 2023, Nov 17, 2017 (2 updates tracked since 2017).

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About Dr. Jerry Dean Gibson M.a., Ed.d. Lpc, Ncc NPPES

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

DR. JERRY DEAN GIBSON M.A., ED.D. LPC, NCC (NPI 1174037899) is an individual professional provider in Princeton, West Virginia, licensed in West Virginia (2318) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1174037899

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDR. JERRY DEAN GIBSONCredential: M.A., ED.D. LPC, NCC

Location Address109 THORN ST STE EPrinceton, WV 24740-3571

Mailing AddressPo Box 5565Princeton, WV 24740-5565 · (304) 487-9996 · Fax (833) 488-1901

Phone(304) 487-9996

Fax(833) 488-1901

Sole ProprietorYes

Enumeration DateNovember 17, 2017

Last NPPES UpdateJanuary 12, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2024

✔ NPI 1174037899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WV · 2318

109 THORN ST STE E, Princeton, WV 24740

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Providence Health Plan.Insurance ›

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 Jerry Gibson's NPI number?

The NPI number for Jerry Gibson is 1174037899. It was assigned to this individual provider in the NPPES registry on November 17, 2017.

Where is Jerry Gibson located?

Jerry Gibson practices at 109 Thorn St Ste E, Princeton, WV 24740. The listed phone number is (304) 487-9996.

What is Jerry Gibson's specialty?

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

What insurance does Jerry Gibson accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Providence Health Plan list Jerry 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 Jerry Gibson was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.