Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SIERRA GIBSON LCPC
NPI 1477484418
Counselor - Mental Health in Evergreen Park, IL

Active since May 28, 2026PECOS Enrolled
9730 S WESTERN AVE STE 206, EVERGREEN PARK, IL 60805(708) 475-0622 Get Directions Write a Review

NPPES record added: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2026, May 28, 2026 (2 updates tracked since 2026).

About Sierra Gibson Lcpc NPPES

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

SIERRA GIBSON LCPC (NPI 1477484418) is an individual mental health provider in Evergreen Park, Illinois, licensed in Illinois (180018312) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1477484418
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSIERRA GIBSONCredential: LCPC
Location Address9730 S WESTERN AVE STE 206Evergreen Park, IL 60805-2890
Mailing Address9730 S Western Ave Ste 206Evergreen Park, IL 60805-2890 · (708) 475-0622
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 28, 2026
Last NPPES UpdateJune 4, 20262 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
NPI 1477484418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 180018312
9730 S WESTERN AVE STE 206, Evergreen Park, IL 60805

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1759853443
PECOS Enrollment IDI20260613000140
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.

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 Sierra Gibson's NPI number?

The NPI number for Sierra Gibson is 1477484418. It was assigned to this individual provider in the NPPES registry on May 28, 2026.

Where is Sierra Gibson located?

Sierra Gibson practices at 9730 S Western Ave Ste 206, Evergreen Park, IL 60805. The listed phone number is (708) 475-0622.

What is Sierra Gibson's specialty?

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

Is Sierra Gibson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sierra Gibson was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.