MR. TROY ELDON GIBSON JR. M.A., LCPC
NPI 1649715962
Counselor - Mental Health in Chicago, IL

Active since December 21, 2016
3950 N LAKE SHORE DR APT 625E, CHICAGO, IL 60613(484) 632-9643 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 8, 2023, Dec 21, 2016 (2 updates tracked since 2016).

About Mr. Troy Eldon Gibson Jr. M.a., Lcpc NPPES

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

MR. TROY ELDON GIBSON JR. M.A., LCPC (NPI 1649715962) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (180012507) and active in the NPI registry since December 2016. He maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1649715962
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. TROY ELDON GIBSON JR.Credential: M.A., LCPC
Location Address3950 N LAKE SHORE DR APT 625EChicago, IL 60613-6447
Mailing Address3950 N Lake Shore Dr Apt 625eChicago, IL 60613-6447 · (484) 632-9643
Sole ProprietorYes
Enumeration DateDecember 21, 2016
Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
NPI 1649715962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in IL · 180012507 Licensed in IL · 178012601
3950 N LAKE SHORE DR APT 625E, Chicago, IL 60613

Secondary Practice Location 1

Location 12045 W Grand Ave, Ste B PMB 324489Chicago, IL 60612 · Phone (312) 298-9848

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 Troy Gibson's NPI number?

The NPI number for Troy Gibson is 1649715962. It was assigned to this individual provider in the NPPES registry on December 21, 2016.

Where is Troy Gibson located?

Troy Gibson practices at 3950 N Lake Shore Dr Apt 625E, Chicago, IL 60613. The listed phone number is (484) 632-9643.

What is Troy Gibson's specialty?

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

When was this NPI record last updated?

The NPPES record for Troy Gibson was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.