DR. MISTY GIBSON PHD, LMHC, LCPC, LPC
NPI 1396116729
Counselor - Professional in Federal Way, WA
About Dr. Misty Gibson Phd, Lmhc, Lcpc, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MISTY GIBSON PHD, LMHC, LCPC, LPC (NPI 1396116729) is an individual professional provider in Federal Way, Washington, licensed in Washington (LH60819101) and active in the NPI registry since October 2015. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Misty Gibson Phd, Lmhc, Lcpc, Lpc 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FEDERAL WAY, WA 98023
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 Misty Gibson's NPI number?
The NPI number for Misty Gibson is 1396116729. It was assigned to this individual provider in the NPPES registry on October 12, 2015.
Where is Misty Gibson located?
Misty Gibson practices at 1600B SW Dash Point Rd # 1017, Federal Way, WA 98023. The listed phone number is (253) 201-2436.
What is Misty Gibson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Misty Gibson enrolled in Medicare?
No. Misty 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 Misty Gibson was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Misty Gibson, PHD, LMHC, LCPC, LPC · NPI 1396116729
Professional provider in Federal Way, Washington. Individual provider, active in the CMS NPPES registry since October 12, 2015.
## Identity
- **NPI:** 1396116729 (Entity type: Individual)
- **Enumerated:** October 12, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LH60819101 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600B SW DASH POINT RD # 1017, Federal Way, WA 98023-4530
- **Phone:** (253) 201-2436
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** December 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396116729) · Data from the CMS NPPES public registry.