MEDICARE: GIBSON COUNSELING AND WELLNESS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1598626939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIBSON COUNSELING AND WELLNESS PLLC

Provider Business Mailing Address
First Line	:	PO BOX 6
Second Line	:
City	:	BELTON
State	:	TX
Zip	:	76513-0006
Country	:	US
Telephone Number	:	315-804-7036
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 MORGANS POINT RD
Second Line	:
City	:	BELTON
State	:	TX
Zip	:	76513-6865
Country	:	US
Telephone Number	:	254-655-5158
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER GIBSON
Credential	:	LCSW
Telephone Number	:	254-655-5158

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	05/21/2026

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