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KEARRA GIBSON
NPI 1689229031
Community/Behavioral Health in Mentor, OH

Active since August 02, 2019
9220 MENTOR AVE, MENTOR, OH 44060(440) 354-9924 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kearra Gibson NPPES

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

KEARRA GIBSON (NPI 1689229031) is an individual community/behavioral health provider in Mentor, Ohio and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1689229031
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameKEARRA GIBSON
Location Address9220 MENTOR AVEMentor, OH 44060-6412
Mailing Address9220 Mentor AveMentor, OH 44060-6412
Phone(440) 354-9924
Sole ProprietorYes
Enumeration DateAugust 2, 2019
✔ NPI 1689229031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
9220 MENTOR AVE, Mentor, OH 44060
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Other Identifiers 1

Medicaid2864093OH

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.

CHRISTINA A ANDERSON MA
Behavior Technician
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 354-9924
JANET MOTON-DJERMANI LPN
Community/Behavioral Health
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 354-9924
DUSTIN WHELDON
Case Manager/Care Coordinator
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 639-3581
MICHELE ROBINSON
Licensed Practical Nurse
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 639-3581
MATTHEW DIETZ PMHNP-BC, RN
Nurse Practitioner (Psychiatric/Mental Health)
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 255-1700
LINA IVERSON
Case Manager/Care Coordinator
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 639-3581
GABRIELLA PARRISH
Case Manager/Care Coordinator
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 639-3581
HANNA GRACE HOLEN
Substance Abuse Rehabilitation Facility
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 255-1700

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 Kearra Gibson's NPI number?

The NPI number for Kearra Gibson is 1689229031. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Where is Kearra Gibson located?

Kearra Gibson practices at 9220 Mentor Ave, Mentor, OH 44060. The listed phone number is (440) 354-9924.

What is Kearra Gibson's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Kearra Gibson was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.