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HEATHER NICOLE GIBSON LCSW, LCADC
NPI 1548706617
Social Worker - Clinical in Louisa, KY

Active since January 13, 2017PECOS EnrolledAccepts Medicare Assignment
125 S MAIN CROSS ST, LOUISA, KY 41230(606) 638-0938(859) 813-5394 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2025, May 17, 2023, Jan 13, 2017 (3 updates tracked since 2017).

About Heather Nicole Gibson Lcsw, Lcadc NPPES

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

HEATHER NICOLE GIBSON LCSW, LCADC (NPI 1548706617) is an individual clinical provider in Louisa, Kentucky, licensed in Kentucky (253890) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1548706617
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHEATHER NICOLE GIBSONCredential: LCSW, LCADC
Location Address125 S MAIN CROSS STLouisa, KY 41230-1065
Mailing AddressPo Box 726Louisa, KY 41230-0726 · (606) 638-0938 · Fax (859) 813-5394
Phone(606) 638-0938
Fax(859) 813-5394
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 13, 2017
Last NPPES UpdateApril 24, 20253 updates tracked since enumeration
NPPES CertifiedApril 24, 2025
✔ NPI 1548706617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 253890
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 164408 (KY)
125 S MAIN CROSS ST, Louisa, KY 41230
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Nicole Gibson Lcsw, Lcadc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618498213
PECOS Enrollment IDI20250312001029, I20251104004057, I20251114001470
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 Reassignments

3

Medicare enrollment records show Heather Gibson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kentucky Family Practice Inc
106 mi
Rural Health
195 COMMERCIAL DR STE 98
London, KY 40744
  • Reassigned Medicare billing, Kentucky enrollment
  • 11 clinicians in this Medicare group
NPI 1851054597 (606) 878-1219
Mental Health Specialty Group PA
251 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Kentucky enrollment
  • 47 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088
Sondermind Provider Network LLC
1,209 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Indiana, Kentucky, Ohio and Virginia enrollments
  • 136 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

LOIS MICHELLE HUBBARD
Case Manager/Care Coordinator
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
CHARLOTTE WILLIAMSON LPCA
Counselor (Professional)
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
JOHN W. RILEY CADC
Counselor (Addiction (Substance Use Disorder))
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
SHERRY DIANNE BIBBS JOHNSON RN
Registered Nurse (Addiction (Substance Use Disorder))
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 639-0938
KEITH JONES
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
BOBBY LEE HILL PSS
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
MELISSA MAYNARD
Case Manager/Care Coordinator
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
TRENTON ALLEN FLYNN PSS
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938

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 Heather Gibson's NPI number?

The NPI number for Heather Gibson is 1548706617. It was assigned to this individual provider in the NPPES registry on January 13, 2017.

Where is Heather Gibson located?

Heather Gibson practices at 125 S Main Cross St, Louisa, KY 41230. The listed phone number is (606) 638-0938.

What is Heather Gibson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Heather Gibson enrolled in Medicare?

Yes. Heather Gibson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Heather Gibson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Gibson reassigns Medicare benefits to 3 organizations: Kentucky Family Practice Inc (London, KY), Mental Health Specialty Group PA (Durham, NC) and Sondermind Provider Network LLC (Denver, CO). Each 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 Heather Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Gibson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Heather 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 Heather Gibson was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.