GIBSON CENTER FOR BEHAVIORAL CHANGE
NPI 1679928501
Clinic/Center - Rehabilitation, Substance Use Disorder in Cape Girardeau, MO

Active since April 28, 2016
340 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703(573) 332-0416 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gibson Center For Behavioral Change NPPES

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

GIBSON CENTER FOR BEHAVIORAL CHANGE (NPI 1679928501) is a healthcare organization registered as a rehabilitation, substance use disorder in Cape Girardeau, Missouri and active in the NPI registry since April 2016. The organization lists Ryan Essex, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1679928501
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameGIBSON CENTER FOR BEHAVIORAL CHANGE
Location Address340 S BROADVIEW STCape Girardeau, MO 63703-5703
Mailing AddressPo Box 1267Cape Girardeau, MO 63702-1267 · (573) 332-0416
Organization SubpartNo
Authorized OfficialRyan EssexChief Operating Officer · (573) 803-4145
Enumeration DateApril 28, 2016
Last NPPES UpdateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
NPI 1679928501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License Licensed in MO · 3056-7335
340 S BROADVIEW ST, Cape Girardeau, MO 63703

Other Identifiers 1

Medicaid1184774275MO

Other Providers at the Same Location NPPES 8

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

Counselor (Professional)
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Counselor (Mental Health)
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Counselor (Mental Health)
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Registered Nurse
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Licensed Practical Nurse
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Licensed Practical Nurse
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703

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 Gibson Center For Behavioral Change's NPI number?

The NPI number for Gibson Center For Behavioral Change is 1679928501. It was assigned to this organization in the NPPES registry on April 28, 2016.

Where is Gibson Center For Behavioral Change located?

Gibson Center For Behavioral Change is located at 340 S Broadview St, Cape Girardeau, MO 63703. The listed phone number is (573) 332-0416.

What is Gibson Center For Behavioral Change's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Gibson Center For Behavioral Change was last updated on January 24, 2024. 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.