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SHAWN GIBSON LAC, LMSW, LPC
NPI 1972241131
Counselor - Addiction (Substance Use Disorder) in Fort Wayne, IN

Active since May 26, 2022
3282 MALLARD COVE LN, FORT WAYNE, IN 46804(812) 558-0574 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 22, 2023, May 26, 2022 (2 updates tracked since 2022).

About Shawn Gibson Lac, Lmsw, Lpc NPPES

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

SHAWN GIBSON LAC, LMSW, LPC (NPI 1972241131) is an individual addiction (substance use disorder) provider in Fort Wayne, Indiana, licensed in Indiana (86000400A) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1972241131
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSHAWN GIBSONCredential: LAC, LMSW, LPC
Location Address3282 MALLARD COVE LNFort Wayne, IN 46804-2883
Mailing Address3282 Mallard Cove LnFort Wayne, IN 46804-2883 · (812) 558-0574
Phone(812) 558-0574
Sole ProprietorYes
Enumeration DateMay 26, 2022
Last NPPES UpdateFebruary 22, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ NPI 1972241131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IN · 86000400A
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 5820 (TN)
Also ListedSocial WorkerTaxonomy 104100000X · License 13690 (TN), 33010944A (IN)
3282 MALLARD COVE LN, Fort Wayne, IN 46804
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Other Providers at the Same Location NPPES 2

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

DUSTY DAWKINS
Counselor (Addiction (Substance Use Disorder))
3282 MALLARD COVE LN
FORT WAYNE, IN 46804
Allen County (812) 558-0574
HEATHER C SMALLEY CADAC II
Counselor (Addiction (Substance Use Disorder))
3282 MALLARD COVE LN
FORT WAYNE, IN 46804
Allen County (812) 200-2789

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 Shawn Gibson's NPI number?

The NPI number for Shawn Gibson is 1972241131. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Where is Shawn Gibson located?

Shawn Gibson practices at 3282 Mallard Cove Ln, Fort Wayne, IN 46804. The listed phone number is (812) 558-0574.

What is Shawn Gibson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shawn Gibson was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.