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Organization

Gibson Center for Behavioral Change

NPI Record: ActiveCounselor — Mental Health
NPI1164719373
Cape Girardeau, Missouri

Provider's NPPES record last updated: January 31, 2024

Overview

Entity Type
Organization
NPI
1164719373
Primary Specialty
Counselor — Mental Health
Practice Location
Cape Girardeau, Missouri
Organization Subpart
Yes
Parent Organization
Gibson Recovery Center, Inc.

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 5:22 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Counselor

    Mental Health

    Behavioral Health & Social Service Providers

    Primary

    Definition to come...

    Taxonomy code 101YM0800X
  • Social Worker

    Clinical

    Behavioral Health & Social Service Providers

    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

    Taxonomy code 1041C0700X
  • Psychiatry & Neurology

    Psychiatry

    Allopathic & Osteopathic Physicians

    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

    Taxonomy code 2084P0800X
  • Clinical Nurse Specialist

    Psychiatric/Mental Health, Adult

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 364SP0809X

Provider-Reported License Information

Counselor (Missouri)
2009023490
Counselor (Missouri)
2001007821
Counselor (Missouri)
2004002713
Counselor (Missouri)
001113
Counselor (Missouri)
002005
Social Worker (Missouri)
2002031993
Psychiatry & Neurology (Missouri)
MO2005003649
Clinical Nurse Specialist (Missouri)
096892
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

340 S Broadview St

Cape Girardeau, Missouri 63703-5703

Phone: (573) 332-0416

Other Names

  • Hillcrest Counseling AssociatesReported July 8, 2011

Record Information

Enumeration Date
July 8, 2011
Provider's NPPES Record Last Updated
January 31, 2024
Certification Date
January 31, 2024
NPISignal NPPES Dataset
August 2026

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