MRS. STACY LEE GIBBS LPC
NPI 1194996199
Counselor - Professional in Broken Arrow, OK

Active since March 18, 2008PECOS EnrolledAccepts Medicare Assignment
3300 S ASPEN AVE STE D, BROKEN ARROW, OK 74012(918) 973-1464 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 4, 2025, Sep 20, 2021 (2 updates tracked since 2021).

About Mrs. Stacy Lee Gibbs Lpc NPPES

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

MRS. STACY LEE GIBBS LPC (NPI 1194996199) is an individual professional provider in Broken Arrow, Oklahoma, licensed in Oklahoma (6231) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1194996199
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. STACY LEE GIBBSCredential: LPC
Location Address3300 S ASPEN AVE STE DBroken Arrow, OK 74012-7501
Mailing Address3300 S Aspen Ave Ste DBroken Arrow, OK 74012-7501 · (918) 974-1464 · Fax (910) 424-1418
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 18, 2008
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
NPI 1194996199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in OK · 6231 Licensed in NC · 6909
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3300 S ASPEN AVE STE D, Broken Arrow, OK 74012

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 and accepts Medicare assignment

Mrs. Stacy Lee Gibbs Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032525159
PECOS Enrollment IDI20240306002440
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 4

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

Optometrist
3300 S ASPEN AVE STE D
BROKEN ARROW, OK 74012
Counselor
3300 S ASPEN AVE STE D
BROKEN ARROW, OK 74012
Counselor (Addiction (Substance Use Disorder))
3300 S ASPEN AVE STE D
BROKEN ARROW, OK 74012
Social Worker (Clinical)
3300 S ASPEN AVE STE D
BROKEN ARROW, OK 74012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194996199, enumerated as an "individual" on March 18, 2008.

The provider is located at 3300 S ASPEN AVE STE D BROKEN ARROW, OK 74012 and the phone number is (918) 973-1464.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica,. Please consult your insurance carrier or call the provider to verify.