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MARY L GIBSON MS
NPI 1205044112
Counselor in Green Bay, WI

Active since May 21, 2007
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301(920) 430-3630 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary L Gibson Ms NPPES

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

MARY L GIBSON MS (NPI 1205044112) is an individual counselor in Green Bay, Wisconsin, licensed in Wisconsin (1196-125) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1205044112
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMARY L GIBSONCredential: MS
Location Address301 E SAINT JOSEPH STGreen Bay, WI 54301-2241
Mailing Address301 E Saint Joseph StGreen Bay, WI 54301-2241 · (920) 430-3630
Phone(920) 430-3630
Sole ProprietorNo
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1205044112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WI · 1196-125
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

301 E SAINT JOSEPH ST, Green Bay, WI 54301
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Other Identifiers 2

Other1196-125WI · License Number
Medicaid43561600WI

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.

DENISE M BALZOLA MSW
Counselor (Mental Health)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-6073
JOLAYNE M BOEHMKE LPC
Counselor
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-3673
MARY L HILL LCSW
Social Worker
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-6073
BLISS A BAUDHUIN LPC
Counselor
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-6073
LESLIE A KOCHA APSW
Social Worker
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-6073
KIM L LASECKI PHD
Psychologist (Clinical Child & Adolescent)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-6073
ERIC L LAVARDA LPC
Social Worker
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-6073
DONNA L RASMUSSEN LCSW
Social Worker
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-6073

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 Gibson's NPI number?

The NPI number for Mary Gibson is 1205044112. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Mary Gibson located?

Mary Gibson practices at 301 E Saint Joseph St, Green Bay, WI 54301. The listed phone number is (920) 430-3630.

What is Mary Gibson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Mary Gibson was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.