MR. JERRY GIBSON JR. MS
NPI 1255144838
Marriage & Family Therapist in Cleveland, TN

Q: What is Jerry Gibson's NPI number?

The NPI number for Jerry Gibson is 1255144838. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Q: What is Jerry Gibson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Gibson was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 January 28, 2025PECOS Enrolled

102 DUNHILL PL NW, CLEVELAND, TN 37311(239) 348-5530 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mr. Jerry Gibson Jr. Ms NPPES

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

MR. JERRY GIBSON JR. MS (NPI 1255144838) is an individual marriage & family therapist in Cleveland, Tennessee, licensed in Tennessee (2580) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255144838

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. JERRY GIBSON JR.Credential: MS

Location Address102 DUNHILL PL NWCleveland, TN 37311-3885

Mailing Address102 Dunhill Pl NwCleveland, TN 37311-3885 · (239) 348-5530

Phone(239) 348-5530

Sole ProprietorYes

Enumeration DateJanuary 28, 2025

NPPES CertifiedJanuary 28, 2025

✔ NPI 1255144838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in TN · 2580

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

102 DUNHILL PL NW, Cleveland, TN 37311

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jerry Gibson Jr. Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10

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

CYNTHIA M. NIENDORFF MD

Anesthesiology

102 DUNHILL PL NW
CLEVELAND, TN 37311

Bradley County (423) 339-9581

ELITE PAIN CONSULTANTS, PLLC

Clinic/Center (Pain)

102 DUNHILL PL NW
CLEVELAND, TN 37311

Bradley County (423) 339-9581

ELITE PAIN CONSULTANTS, PLLC

Pain Medicine (Pain Medicine)

102 DUNHILL PL NW
CLEVELAND, TN 37311

Bradley County (423) 339-9581

SOUTHEAST TENNESSEE ORTHOPAEDICS, INC

Orthopaedic Surgery

102 DUNHILL PL NW
CLEVELAND, TN 37311

Bradley County (423) 472-1567

TYLER RUSSELL ARCHER MSN, NP-C

Nurse Practitioner (Family)

102 DUNHILL PL NW
CLEVELAND, TN 37311

Bradley County (423) 339-9581

AMY SUZANNE VILLACCI PT, DPT

Physical Therapist

102 DUNHILL PL NW, STE. B
CLEVELAND, TN 37311

Bradley County (423) 559-0444

JUSTIN M KING PA

Physician Assistant

102 DUNHILL PL NW
CLEVELAND, TN 37311

Bradley County (423) 339-9581

PIPER SHAYE HILL FNP-C

Nurse Practitioner (Primary Care)

102 DUNHILL PL NW
CLEVELAND, TN 37311

Bradley County (423) 339-9581

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 1255144838. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Where is Jerry Gibson located?

Jerry Gibson practices at 102 Dunhill Pl NW, Cleveland, TN 37311. The listed phone number is (239) 348-5530.

What is Jerry Gibson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jerry Gibson enrolled in Medicare?

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

What insurance does Jerry Gibson accept?

Health plans from Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare 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 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.