JERRY U. GIBSON LPC, NCC
NPI 1154774966
Counselor - Professional in Madison, AL

NPI Status: Active since July 16, 2016

Contact Information

8089 HIGHWAY 72 W STE D
MADISON, AL
ZIP 35758
Phone: (256) 213-1934

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  • Individual
  • Male
  • Years of Experience 14
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JERRY GIBSON

This page provides the complete NPI Profile along with additional information for Jerry Gibson, a provider established in Madison, Alabama with a medical specialization in Counselor, focusing in professional and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1154774966 assigned on July 2016. The practitioner's primary taxonomy code is 101YP2500X with license number 3579 (AL). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1154774966
Provider Name
JERRY U. GIBSON LPC, NCC
Gender
Male
Entity Type
Individual
Location Address
8089 HIGHWAY 72 W STE D MADISON, AL 35758
Location Phone
(256) 213-1934
Mailing Address
7900 OLD MADISON PIKE APT 3011 MADISON, AL 35758
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
Yes
Enumeration Date
07-16-2016
Last Update Date
07-16-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
3579
License State
AL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue HSA Bronze - PPO
  • Blue Protect - PPO
  • Blue Saver Bronze - PPO
  • Blue Saver Silver EPO - EPO
  • Blue Standardized Silver EPO - EPO
  • Blue Value Gold - PPO
  • Blue Value Silver - PPO
  • Blue Access Gold for Business - PPO
  • Blue Choice Platinum for Business - PPO
  • Blue HSA Silver for Business - PPO
  • Blue Saver Bronze for Business - PPO
  • Blue Saver Gold for Business - PPO
  • Blue Secure Gold for Business - PPO
  • Blue Secure Silver for Business - PPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus (No Referrals) - EPO
  • UHC Bronze Copay Focus+ (Dental + Vision, No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
  • UHC Bronze Value (No Referrals) - EPO
  • UHC Gold Advantage (No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Copay Focus (No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Silver Advantage (No Referrals) - EPO
  • UHC Silver Advantage+ (Dental + Vision, No Referrals) - EPO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Copay Focus (No Referrals) - EPO
  • UHC Silver Standard (No Referrals) - EPO
  • UHC Silver Value ($0 Virtual Urgent Care, $2 Tier 2 Rx, No Referrals) - EPO
  • EssentialSmile Tennessee - Total Care - EPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jerry Gibson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jerry Gibson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8426499898

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240516001009

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for JERRY U. GIBSON LPC, NCC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154774966
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041478912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 4 + 7 + 8 + 9 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1154774966 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891245833 CASEY HARRIS LPC
Individual
Counselor8089 HIGHWAY 72 W STE D
MADISON, AL 35758
(256) 325-0424
1952593287MISS TIA MARIE HARDEN LPC
Individual
Counselor (Professional)8089 HIGHWAY 72 W STE D
MADISON, AL 35758
(256) 325-0424
1932842994FAMILY RESTORATION CENTER, LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))8089 HIGHWAY 72 W STE D
MADISON, AL 35758
(256) 612-8355
1750087417 DELORIA JEAN ELLIS ALC
Individual
Counselor (Mental Health)8089 HIGHWAY 72 W STE D
MADISON, AL 35758
(256) 489-0025
1609664317 STEPHANIE DESHAUN MOSLEY ALC
Individual
Counselor (Mental Health)8089 HIGHWAY 72 W STE D
MADISON, AL 35758
(256) 325-0424

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154774966, enumerated in the NPI registry as an "individual" on July 16, 2016

The provider is located at 8089 Highway 72 W Ste D Madison, Al 35758 and the phone number is (256) 213-1934

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider has more than 14 years of experience.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on July 16, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.