1. Home
  2. Directory
  3. Georgia
  4. Villa Rica
  5. Counselor
  6. NPI Profile

JOHN BRIAN GIBSON MA, LPC, CPCS
NPI 1174151138
Counselor - Professional in Villa Rica, GA

Active since March 27, 2020PECOS Enrolled
20 HERRELL RD, VILLA RICA, GA 30180(770) 456-3034 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Brian Gibson Ma, Lpc, Cpcs NPPES

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

JOHN BRIAN GIBSON MA, LPC, CPCS (NPI 1174151138) is an individual professional provider in Villa Rica, Georgia, licensed in Georgia (LPC6018) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1174151138
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHN BRIAN GIBSONCredential: MA, LPC, CPCS
Location Address20 HERRELL RDVilla Rica, GA 30180-5527
Mailing Address181 Whetstone WayVilla Rica, GA 30180-6941
Phone(770) 456-3034
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 27, 2020
NPPES CertifiedMarch 27, 2020
✔ NPI 1174151138 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 GA · LPC6018
20 HERRELL RD, Villa Rica, GA 30180
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Brian Gibson Ma, Lpc, Cpcs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961901012
PECOS Enrollment IDI20250815004366
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.

ALLYSON MOFFATT LPC
Counselor (Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3530
ANSON CHIN
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3283
UBI OKIM
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3530
THOMAS STUCKEY CRNP
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3294
NOVA MEDICAL SERVICES, LLC
Family Medicine
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 726-7460
ABIGAIL POST M.ED.
Counselor (Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3266
MS. STEPHANIE CHRISTINE SKY DNP-PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3530
DR. YESHA MUKESH THAKKAR D.O
Student in an Organized Health Care Education/Training Program
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (630) 873-9445

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 John Gibson's NPI number?

The NPI number for John Gibson is 1174151138. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is John Gibson located?

John Gibson practices at 20 Herrell Rd, Villa Rica, GA 30180. The listed phone number is (770) 456-3034.

What is John Gibson's specialty?

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

Is John Gibson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Gibson was last updated on March 27, 2020. 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.