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ALEXIS VICTORIA GIBSON MA, LMFT
NPI 1336765908
Marriage & Family Therapist in Los Osos, CA

Active since June 19, 2020Opted out of Medicare · through Jan 1, 2028
2280 SUNSET DR STE EE, LOS OSOS, CA 93402(805) 242-1163 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 15, 2022, Mar 24, 2021, Jun 19, 2020 (3 updates tracked since 2020).

About Alexis Victoria Gibson Ma, Lmft NPPES

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

ALEXIS VICTORIA GIBSON MA, LMFT (NPI 1336765908) is an individual marriage & family therapist in Los Osos, California, licensed in California (139818) and active in the NPI registry since June 2020. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1336765908
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameALEXIS VICTORIA GIBSONCredential: MA, LMFT
Location Address2280 SUNSET DR STE EELos Osos, CA 93402-4026
Mailing Address2101 Buckskin DrLos Osos, CA 93402-3001 · (805) 242-1163
Phone(805) 242-1163
Sole ProprietorYes
Enumeration DateJune 19, 2020
Last NPPES UpdateFebruary 16, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2024
✔ NPI 1336765908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 139818✔ Licensed in WY · PMFT-295
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 121752 (CA)
2280 SUNSET DR STE EE, Los Osos, CA 93402
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Alexis Victoria Gibson Ma, Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Alexis Gibson's NPI number?

The NPI number for Alexis Gibson is 1336765908. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Where is Alexis Gibson located?

Alexis Gibson practices at 2280 Sunset Dr Ste Ee, Los Osos, CA 93402. The listed phone number is (805) 242-1163.

What is Alexis Gibson's specialty?

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

Is Alexis Gibson enrolled in Medicare?

No. Alexis Gibson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Alexis Gibson was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.