MR. GARY GRANT GIBSON (LPC, NCC, LPCC,) – Mental Health Counselor, NPI 1255526174
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,998 MENTAL HEALTH COUNSELOR in VA
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Provider Addresses for MR. GARY GRANT GIBSON (LPC, NCC, LPCC,)
2007, Millstream Drive, Woodbridge, Salem, Salem (city), Virginia, 24153, United States
SALEM, VA 241534620
Phone: (540) 682-3498
Fax: (540) 725-7774
Type: Mailing
1351, Hershberger Road Northwest, Airlee Court, Roanoke, Salem (city), Virginia, 24012, United States
SUITE 205
ROANOKE, VA 240122234
Phone: (540) 682-3498
Fax: (540) 776-2722
Type: Location
11071 W WEGENER RD
HIBBING, MN 557468215
Phone: (540) 682-3498
Type: Mailing
1601 GOLF COURSE RD
GRAND RAPIDS, MN 557448648
Phone: (540) 682-3498
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: 2024-07-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240701001923 | I | Mental Health Counselor | MN | TBD |
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.
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 24153)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| General Surgery | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Family Practice | MN | |
| Diagnostic Radiology | MN |
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