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Gibson Center for Behavioral Change

Mental Health Counselor in Cape Girardeau, MO · enumerated 2011 · authorized official Ryan Essex, Chief Operating Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164719373

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Registry record

Entity type Organization (Type 2)
Legal business name Gibson Center for Behavioral Change
Other name <Unavail>
Parent organization Gibson Recovery Center, Inc.
Practice address 340 S Broadview St, Cape Girardeau, MO, 63703
Fax (573) 335-2698
Enumeration date Jul 8, 2011
Last updated in NPPES Jan 31, 2024

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 2009023490 (MO) Primary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 2001007821 (MO) Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 2004002713 (MO) Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 001113 (MO) Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 002005 (MO) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 2002031993 (MO) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License MO2005003649 (MO) Secondary
364SP0809X Adult Psychiatric/Mental Health Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers · License 096892 (MO) Secondary

Authorized official

Name Ryan Essex
Title Chief Operating Officer

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Gibson Center for Behavioral Change?
Gibson Center for Behavioral Change is registered in NPPES as a Mental Health Counselor (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-31.