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KATIE ANN MCKELVY-GIBBONS MA, LCPC
NPI 1629668165
Counselor - Professional in O Fallon, IL

Active since January 19, 2021
200 N LINCOLN AVE, O FALLON, IL 62269(618) 920-6119(618) 288-4669 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2023, Jan 19, 2021 (2 updates tracked since 2021).

About Katie Ann Mckelvy-gibbons Ma, Lcpc NPPES

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

KATIE ANN MCKELVY-GIBBONS MA, LCPC (NPI 1629668165) is an individual professional provider in O Fallon, Illinois, licensed in Illinois (180.015303) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1629668165
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATIE ANN MCKELVY-GIBBONSCredential: MA, LCPC
Location Address200 N LINCOLN AVEO Fallon, IL 62269-1415
Mailing Address202 E Jackson StO Fallon, IL 62269-1318 · (618) 920-6119 · Fax (618) 288-4669
Phone(618) 920-6119
Fax(618) 288-4669
Sole ProprietorYes
Enumeration DateJanuary 19, 2021
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1629668165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180.015303✔ Licensed in IL · 178.014311
200 N LINCOLN AVE, O Fallon, IL 62269
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Other Providers at the Same Location NPPES 3

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

MADISYN WEBSTER
Social Worker
200 N LINCOLN AVE
O FALLON, IL 62269
St. Clair County (618) 624-5771
CHARLES CRAIG TOMPKINS LPC
Counselor (Mental Health)
200 N LINCOLN AVE
O FALLON, IL 62269
St. Clair County (618) 624-5771
KARLA SMITH FOUNDATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
200 N LINCOLN AVE
O FALLON, IL 62269
St. Clair County (618) 624-5771

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 Katie Mckelvy-gibbons's NPI number?

The NPI number for Katie Mckelvy-gibbons is 1629668165. It was assigned to this individual provider in the NPPES registry on January 19, 2021.

Where is Katie Mckelvy-gibbons located?

Katie Mckelvy-gibbons practices at 200 N Lincoln Ave, O Fallon, IL 62269. The listed phone number is (618) 920-6119.

What is Katie Mckelvy-gibbons's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Katie Mckelvy-gibbons was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.