MR. GARY GRANT GIBSON LPC, NCC, LPCC,
NPI 1255526174
Counselor - Mental Health in Grand Rapids, MN
About Mr. Gary Grant Gibson Lpc, Ncc, Lpcc, NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GARY GRANT GIBSON LPC, NCC, LPCC, (NPI 1255526174) is an individual mental health provider in Grand Rapids, Minnesota, licensed in Minnesota (00016) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Grand Itasca Clinic And Hospital, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Gary Grant Gibson Lpc, Ncc, Lpcc, 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.
Medicare Billing Reassignment
Medicare enrollment records show Gary Gibson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 555 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grand Itasca Clinic And Hospital
Acute Care Hospitals · Grand Rapids, MNOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MN 55744
GRAND RAPIDS, MN 55744
GRAND RAPIDS, MN 55744
GRAND RAPIDS, MN 55744
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 Gary Gibson's NPI number?
The NPI number for Gary Gibson is 1255526174. It was assigned to this individual provider in the NPPES registry on September 13, 2007.
Where is Gary Gibson located?
Gary Gibson practices at 1601 Golf Course Rd, Grand Rapids, MN 55744. The listed phone number is (540) 682-3498.
What is Gary Gibson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Gary Gibson enrolled in Medicare?
Yes. Gary Gibson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Gary Gibson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Gibson reassigns Medicare benefits to Grand Itasca Clinic And Hospital (Grand Rapids, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Gary Gibson affiliated with any hospitals?
According to CMS data, Gary Gibson is affiliated with Grand Itasca Clinic And Hospital.
When was this NPI record last updated?
The NPPES record for Gary Gibson was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mr. Gary Grant Gibson, LPC, NCC, LPCC, · NPI 1255526174
Mental Health provider in Grand Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since September 13, 2007.
## Identity
- **NPI:** 1255526174 (Entity type: Individual)
- **Enumerated:** September 13, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 00016 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1601 GOLF COURSE RD, Grand Rapids, MN 55744-8648
- **Phone:** (540) 682-3498
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grand Itasca Clinic And Hospital (NPI 1669426631, Grand Rapids, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** August 12, 2025
- **Other identifiers:** Medicaid 1255526174 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1255526174) · Data from the CMS NPPES public registry.