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, and ordering and referring status from the CMS PECOS system.
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.
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.
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 12 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
- **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.