HOLLY GIBBONS LMHC LLC
NPI 1356202279
Clinic/Center - Mental Health (Including Community Mental Health Center) in Davenport, FL
About Holly Gibbons Lmhc Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY GIBBONS LMHC LLC (NPI 1356202279) is a healthcare organization registered as a mental health (including community mental health center) in Davenport, Florida and active in the NPI registry since November 2025. The organization lists David Gibbons, Registered Agent, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holly Gibbons Lmhc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Holly Gibbons Lmhc LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Holly Gibbons Lmhc LLC's NPI number?
The NPI number for Holly Gibbons Lmhc LLC is 1356202279. It was assigned to this organization in the NPPES registry on November 20, 2025.
Where is Holly Gibbons Lmhc LLC located?
Holly Gibbons Lmhc LLC is located at 345 Samuel St, Davenport, FL 33897. The listed phone number is (407) 883-1891.
What is Holly Gibbons Lmhc LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Holly Gibbons Lmhc LLC enrolled in Medicare?
Yes. Holly Gibbons Lmhc LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Holly Gibbons Lmhc LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Holly Gibbons Lmhc LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Holly Gibbons Lmhc LLC was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Holly Gibbons Lmhc Llc · NPI 1356202279
Mental Health (Including Community Mental Health Center) organization in Davenport, Florida. Organization record, active in the CMS NPPES registry since November 20, 2025.
## Identity
- **NPI:** 1356202279 (Entity type: Organization)
- **Enumerated:** November 20, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** David Gibbons, REGISTERED AGENT
## Practice location
- **Address:** 345 SAMUEL ST, Davenport, FL 33897-6218
- **Phone:** (407) 883-1891
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356202279) · Data from the CMS NPPES public registry.