DANIEL CLIN GIBSON – Mental Health Counselor, NPI 1508275470

DANIEL CLIN GIBSON is a healthcare provider. based in Sunnyside, Utah. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 11508443-6004 (UT). The NPI Number for DANIEL CLIN GIBSON is 1508275470

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL CLIN GIBSON
NPI
1508275470
Phone
(435) 888-4411
Address
PO BOX 460
Enumeration Date
5 August 2014
Last Update Date
11 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4354727000
Graduation Year
2019 (7 years ago)
PAC ID
4789020090
Group Practice PAC ID
4183535115
Professional Enrollment ID
I20240308002867
Address ID
UT845261535HE125XXMAIN301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

356 MENTAL HEALTH COUNSELOR in UT

Provider Addresses for DANIEL CLIN GIBSON

  • PO BOX 460

    SUNNYSIDE, UT 845390460

    Phone: (435) 888-4411

    Fax: (435) 888-2270

    Type: Mailing

  • 331 E HIGHWAY 123

    SUNNYSIDE, UT 845397725

    Phone: (435) 888-4411

    Fax: (435) 888-2270

    Type: Location

  • PO BOX 867

    PRICE, UT 845010867

    Phone: (435) 637-7200

    Fax: (435) 637-2377

    Type: Mailing

  • 575 E. 100 S.

    PRICE, UT 84501

    Phone: (435) 637-2358

    Fax: (435) 637-9141

    Type: Location

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: 2024-03-08

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
I20240308002867IMental Health CounselorUTTBD

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 84539)

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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: 4183535115View full group profile
NameSpecialtyState
Nurse PractitionerUT
Physician AssistantUT
Family Practice, Obstetrics/GynecologyUT
Mental Health CounselorUT
Physician AssistantUT
Clinical Social WorkerUT
Nurse PractitionerUT
Clinical Social WorkerUT
Clinical Social WorkerUT
Physician AssistantUT

Reviews

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Frequently asked questions

What federal number belongs to DANIEL CLIN GIBSON?
The federal identifier for DANIEL CLIN GIBSON is NPI 1508275470.
Is DANIEL CLIN GIBSON's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DANIEL CLIN GIBSON treat or focus on?
Patients typically see DANIEL CLIN GIBSON under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place DANIEL CLIN GIBSON?
The snapshot lists Sunnyside, Utah for DANIEL CLIN GIBSON; download NPPES for the complete set.
What if Sunnyside, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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