KRISTEN GIBSON (LADC LPCC) – Mental Health Counselor, NPI 1699384818

KRISTEN GIBSON (LADC LPCC) is a healthcare provider. based in Minneapolis, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LADC LPCC. They hold a License No. 304908 (MN). The NPI Number for KRISTEN GIBSON (LADC LPCC) is 1699384818

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN GIBSON (LADC LPCC)
NPI
1699384818
Phone
(612) 594-2007
Address
510 S 8TH ST
Enumeration Date
23 July 2020
Last Update Date
21 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6124659910
Graduation Year
2017 (9 years ago)
PAC ID
2567987977
Group Practice PAC ID
3173047214
Professional Enrollment ID
I20250417003543
Address ID
MN553739407RO8060X55XX401

Contacts

Main Contact
Minneapolis
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:5State licenses:2Other namesUpdated within 12 months

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for KRISTEN GIBSON (LADC LPCC)

  • 510 S 8TH ST

    MINNEAPOLIS, MN 554041029

    Phone: (612) 594-2007

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250417003543IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173047214View full group profile
NameSpecialtyState
Mental Health CounselorMN
Nurse PractitionerFL
Nurse PractitionerMN
Nurse PractitionerFL
Marriage And Family TherapistMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

Can I verify KRISTEN GIBSON (LADC LPCC) with an NPI only?
You can start verification with NPI 1699384818 for KRISTEN GIBSON (LADC LPCC), then check state licensing separately.
Does CMS list KRISTEN GIBSON (LADC LPCC) as active?
Yes — KRISTEN GIBSON (LADC LPCC) is active in the NPI listing used on this page.
What is KRISTEN GIBSON (LADC LPCC) best known for clinically?
Directory data describes KRISTEN GIBSON (LADC LPCC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is KRISTEN GIBSON (LADC LPCC) based?
KRISTEN GIBSON (LADC LPCC) is tied to Minneapolis, Minnesota in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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