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NPI Code Detail

MEDICARE: GINA CAMILLE SHIBEL LPC

MEDICARE: GINA CAMILLE SHIBEL LPC
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
1101Y00000XCounselor2002018280MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
131600018OTHERMOBCBSKC

General Provider Information

NPI Number : 1689620924
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA CAMILLE SHIBEL LPC
Provider Business Mailing Address
First Line : 2 E 59TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64113-2116
Country : US
Telephone Number : 816-363-1898
Fax Number : 816-822-7711
Provider Business Practice Location Address
First Line : 2 E 59TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64113-2116
Country : US
Telephone Number : 816-363-1898
Fax Number : 816-822-7711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 07/08/2007

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1255379129 — DONDA LYNNE MCLAUGHLIN IV L.C.S.W.
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1013958297 — MRS. KRISTINE VINCE LCSW, LSCSW
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Practice Fax: 816-822-7711

Directions to “ GINA CAMILLE SHIBEL LPC” Practice Location

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