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AMY GIBSON CMHC
NPI 1417780214
Counselor - Mental Health in South Jordan, UT

Active since August 26, 2024PECOS Enrolled
1218 W SOUTH JORDAN PKWY STE A2, SOUTH JORDAN, UT 84095(385) 645-8889 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amy Gibson Cmhc NPPES

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

AMY GIBSON CMHC (NPI 1417780214) is an individual mental health provider in South Jordan, Utah and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417780214
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMY GIBSONCredential: CMHC
Location Address1218 W SOUTH JORDAN PKWY STE A2South Jordan, UT 84095-5946
Mailing Address15047 S Bugle Ridge DrHerriman, UT 84096-5722 · (801) 787-0033
Phone(385) 645-8889
Sole ProprietorYes
Enumeration DateAugust 26, 2024
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
✔ NPI 1417780214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1218 W SOUTH JORDAN PKWY STE A2, South Jordan, UT 84095
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Gibson Cmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amy Gibson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gibson Ventures, LLC
Same address
Mental Health
1218 W SOUTH JORDAN PKWY STE A2
South Jordan, UT 84095
  • Reassigned Medicare billing, Utah enrollment
  • 3 clinicians in this Medicare group
NPI 1336958735 (385) 645-8889

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON SHAW
Counselor (Mental Health)
1218 W SOUTH JORDAN PKWY STE A2
SOUTH JORDAN, UT 84095
Salt Lake County (385) 645-8889
LUZ PATRICIA MARISCAL ORTIZ
Marriage & Family Therapist
1218 W SOUTH JORDAN PKWY STE A2
SOUTH JORDAN, UT 84095
Salt Lake County (385) 645-8889
GIBSON VENTURES, LLC
Counselor (Mental Health)
1218 W SOUTH JORDAN PKWY STE A2
SOUTH JORDAN, UT 84095
Salt Lake County (385) 645-8889
FIRST CHOICE HOME HEALTH CARE AGENCY LLC
Home Health
1218 W SOUTH JORDAN PKWY STE A2
SOUTH JORDAN, UT 84095
Salt Lake County (800) 784-5955
JENNI RICHMOND
Marriage & Family Therapist
1218 W SOUTH JORDAN PKWY STE A2
SOUTH JORDAN, UT 84095
Salt Lake County (801) 662-8136
TALIA JOHN POOLE
Marriage & Family Therapist
1218 W SOUTH JORDAN PKWY STE A2
SOUTH JORDAN, UT 84095
Salt Lake County (385) 645-8889
BRITTANY MAXFIELD
Social Worker
1218 W SOUTH JORDAN PKWY STE A2
SOUTH JORDAN, UT 84095
Salt Lake County (385) 645-8889
CIERA NICOLE ELLIOTT
Counselor (Mental Health)
1218 W SOUTH JORDAN PKWY STE A2
SOUTH JORDAN, UT 84095
Salt Lake County (385) 645-8889

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 Amy Gibson's NPI number?

The NPI number for Amy Gibson is 1417780214. It was assigned to this individual provider in the NPPES registry on August 26, 2024.

Where is Amy Gibson located?

Amy Gibson practices at 1218 W South Jordan Pkwy Ste A2, South Jordan, UT 84095. The listed phone number is (385) 645-8889.

What is Amy Gibson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Amy Gibson enrolled in Medicare?

Yes. Amy Gibson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Gibson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Gibson reassigns Medicare benefits to Gibson Ventures, LLC (South Jordan, UT). 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 Amy Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Gibson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Amy Gibson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Gibson was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.