CAMERON DAMICHAEL GIBSON LPC
NPI 1720892292
Counselor - Professional in Prosper, TX

Active since February 05, 2025Opted out of Medicare · through Jan 29, 2028
805 E 1ST ST, PROSPER, TX 75078(469) 481-6965 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cameron Damichael Gibson Lpc NPPES

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

CAMERON DAMICHAEL GIBSON LPC (NPI 1720892292) is an individual professional provider in Prosper, Texas, licensed in Texas (92171) and active in the NPI registry since February 2025. He has opted out of Medicare through January 29, 2028 and maintains a secondary practice location in Frisco.

NPPES Registry Identity

NPI1720892292
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCAMERON DAMICHAEL GIBSONCredential: LPC
Location Address805 E 1ST STProsper, TX 75078-2919
Mailing Address1504 Trailwood TerAubrey, TX 76227-2962 · (214) 475-3267
Sole ProprietorNo
Enumeration DateFebruary 5, 2025
NPPES CertifiedFebruary 5, 2025
NPI 1720892292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 92171
Also ListedCounselorTaxonomy 101Y00000X · License 92171 (TX)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 92171 (TX)
805 E 1ST ST, Prosper, TX 75078

Secondary Practice Location 1

Location 13535 Victory Group WayFrisco, TX 75034-6719 · Phone (469) 287-5502

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Cameron Damichael Gibson Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 29, 2026 through January 29, 2028.

Opt-Out Effective DateJanuary 29, 2026
Opt-Out In Effect ThroughJanuary 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 15

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

Community/Behavioral Health
805 E 1ST ST
PROSPER, TX 75078
Social Worker (Clinical)
805 E 1ST ST
PROSPER, TX 75078
Counselor (Professional)
805 E 1ST ST
PROSPER, TX 75078
Counselor (Professional)
805 E 1ST ST
PROSPER, TX 75078
Counselor (Professional)
805 E 1ST ST
PROSPER, TX 75078
Counselor (Professional)
805 E 1ST ST
PROSPER, TX 75078
Counselor (Professional)
805 E 1ST ST
PROSPER, TX 75078
Counselor (Professional)
805 E 1ST ST
PROSPER, TX 75078

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 Cameron Gibson's NPI number?

The NPI number for Cameron Gibson is 1720892292. It was assigned to this individual provider in the NPPES registry on February 5, 2025.

Where is Cameron Gibson located?

Cameron Gibson practices at 805 E 1st St, Prosper, TX 75078. The listed phone number is (469) 481-6965.

What is Cameron Gibson's specialty?

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

Is Cameron Gibson enrolled in Medicare?

No. Cameron Gibson has opted out of Medicare through January 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Cameron Gibson was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.