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Gary Grant Gibson, LPC, NCC, LPCC,

NPI 1255526174ActiveIndividual· Counselor, Mental Health· Grand Rapids, MN

Counselor, Mental Health (LPC, NCC, LPCC,) with Grand Itasca Clinic and Hospital, practicing in Grand Rapids, Minnesota. Enrolled in Medicare as practitioner - mental health counselor. Lists Grand Itasca Clinic and Hospital as a hospital affiliation.

Overview

NPI1255526174
StatusActive
Entity typeIndividual
CredentialLPC, NCC, LPCC,
Sole proprietorYes
NPI issuedSep 13, 2007
Last updated in NPPESAug 12, 2025
Certified by providerAug 12, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Counselor, Mental Health Primary101YM0800X00016MN
Counselor, Mental Health101YM0800X0701003993VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Mental Health Counselor (MN)

Medicare sources and data years

Education and affiliations

Graduation year1997
Medicare specialtyMental Health Counselor
TelehealthOffers telehealth

Medical group

Hospital affiliation

Source: CMS Care Compare

Other mental health counselors in Grand Rapids

All 34 mental health counselors in Grand Rapids · All mental health counselors in Minnesota