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AUDREY GIBSON
NPI 1780330910
Counselor - Mental Health in Lakeville, MN

Active since February 25, 2022
17685 JUNIPER PATH STE 303, LAKEVILLE, MN 55044(952) 214-8959 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Audrey Gibson NPPES

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

AUDREY GIBSON (NPI 1780330910) is an individual mental health provider in Lakeville, Minnesota, licensed in Minnesota (23282) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1780330910
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAUDREY GIBSON
Location Address17685 JUNIPER PATH STE 303Lakeville, MN 55044-9821
Mailing Address18941 Excalibur TrlFarmington, MN 55024-7058 · (651) 707-5080
Phone(952) 214-8959
Sole ProprietorYes
Enumeration DateFebruary 25, 2022
NPPES CertifiedFebruary 25, 2022
✔ NPI 1780330910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 23282
17685 JUNIPER PATH STE 303, Lakeville, MN 55044
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 16

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

RACHAEL LEANNE GARDNER LADC
Counselor (Professional)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
MS. FADUMA MOHAMED LGSW
Social Worker (Clinical)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
SARAH KRISTINE MECKLEY
Counselor (Professional)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
MRS. TRACY LORETTA GROCHOW M.A
Counselor (Mental Health)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
DOMINIQUE JACKSON
Marriage & Family Therapist
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
DONALD HANDLANG MS, MDIV
Psychologist (Clinical)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
MICHAEL CLIFTON KERSTETTER MA
Counselor (Professional)
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959
LORI ANNE KLEIN LMFT
Marriage & Family Therapist
17685 JUNIPER PATH STE 303
LAKEVILLE, MN 55044
Dakota County (952) 214-8959

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 Audrey Gibson's NPI number?

The NPI number for Audrey Gibson is 1780330910. It was assigned to this individual provider in the NPPES registry on February 25, 2022.

Where is Audrey Gibson located?

Audrey Gibson practices at 17685 Juniper Path Ste 303, Lakeville, MN 55044. The listed phone number is (952) 214-8959.

What is Audrey Gibson's specialty?

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

What insurance does Audrey Gibson accept?

Health plans from Providence Health Plan list Audrey Gibson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Audrey Gibson was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.