MR. JEREMIAH GIBSON
NPI 1669784203
Marriage & Family Therapist in Brockton, MA

NPI Status: Active since July 12, 2010

Contact Information

1115 W CHESTNUT ST
BROCKTON, MA
ZIP 02301
Phone: (508) 580-4691

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  • Individual
  • Male
  • Marriage & Family Therapist
  • Opted-Out Medicare

About JEREMIAH GIBSON

This page provides the complete NPI Profile along with additional information for Jeremiah Gibson, a provider established in Brockton, Massachusetts with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1669784203 assigned on July 2010. The practitioner's primary taxonomy code is 106H00000X with license number 201445 (TX). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1669784203
Provider Name
MR. JEREMIAH GIBSON
Gender
Male
Entity Type
Individual
Location Address
1115 W CHESTNUT ST BROCKTON, MA 02301
Location Phone
(508) 580-4691
Mailing Address
1115 W CHESTNUT ST BROCKTON, MA 02301
Is Sole Proprietor?
No
Enumeration Date
07-12-2010
Last Update Date
07-12-2010
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A marriage and family therapist like Jeremiah Gibson help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jeremiah Gibson opted out of Medicare effective on 10-04-2024 until 10-04-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Marriage & Family Therapist

Taxonomy Code
106H00000X
Type
Behavioral Health & Social Service Providers
License No.
201445
License State
TX
Taxonomy Description
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 10-04-2024

  • Opt-Out End Date: 10-04-2026

  • Eligible to Order and Refer? No

Reviews for MR. JEREMIAH GIBSON

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669784203, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 1 + 4 + 8 + 8 + 2 + 0 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1669784203.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
1115 W CHESTNUT ST
BROCKTON, MA 02301
Social Worker (Clinical)
1115 W CHESTNUT ST
BROKTON, MA 02301
Counselor (Mental Health)
1115 W CHESTNUT ST, SOUTH BAY MENTAL HEALTH
BROCKTON, MA 02301
Counselor (Mental Health)
1115 W CHESTNUT ST, SOUTH BAY MENTAL HEALTH CENTER
BROCKTON, MA 02301
Speech-Language Pathologist
1115 W CHESTNUT ST
BROCKTON, MA 02301
Registered Nurse
1115 W CHESTNUT ST
BROCKTON, MA 02301
Physical Therapist
1115 W CHESTNUT ST
BROCKTON, MA 02301
Registered Nurse
1115 W CHESTNUT ST
BROCKTON, MA 02301
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Student in an Organized Health Care Education/Training Program
1115 W CHESTNUT ST
BROCKTON, MA 02301
Student in an Organized Health Care Education/Training Program
1115 W CHESTNUT ST, SOUTH BAY MENTAL HEALTH
BROCKTON, MA 02301
Psychologist
1115 W CHESTNUT ST
BROCKTON, MA 02301
Student in an Organized Health Care Education/Training Program
1115 W CHESTNUT ST
BROCKTON, MA 02301
Student in an Organized Health Care Education/Training Program
1115 W CHESTNUT ST
BROCKTON, MA 02301
Student in an Organized Health Care Education/Training Program
1115 W CHESTNUT ST
BROCKTON, MA 02301
Case Manager/Care Coordinator
1115 W CHESTNUT ST
BROCKTON, MA 02301
Student in an Organized Health Care Education/Training Program
1115 W CHESTNUT ST
BROCKTON, MA 02301
Student in an Organized Health Care Education/Training Program
1115 W CHESTNUT ST
BROCKTON, MA 02301
Social Worker (Clinical)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Student in an Organized Health Care Education/Training Program
1115 W CHESTNUT ST
BROCKTON, MA 02301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669784203, enumerated as an "individual" on July 12, 2010.

The provider is located at 1115 W CHESTNUT ST BROCKTON, MA 02301 and the phone number is (508) 580-4691.

Marriage & Family Therapist with taxonomy code 106H00000X.