Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gibson Center for Behavioral Change

Organization Mental Health Counselor · NPI 1164719373

Gibson Center for Behavioral Change is a Mental Health Counselor in Cape Girardeau, Missouri. Licensed in Missouri. Registered with an NPI since 2011.

Licensed in
MO
In the registry since
2011
Specialties on file
8
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Practice location Address checks out

340 S Broadview St
Cape Girardeau, MO 63703-5703
Phone: (573) 332-0416
Fax: (573) 335-2698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2009023490 (MO)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2001007821 (MO)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2004002713 (MO)
Mental Health Counselor Taxonomy 101YM0800X · Licence 001113 (MO)
Mental Health Counselor Taxonomy 101YM0800X · Licence 002005 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2002031993 (MO)
Psychiatry Physician Taxonomy 2084P0800X · Licence MO2005003649 (MO)
Adult Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0809X · Licence 096892 (MO)

Record details

NPI number1164719373
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGibson Recovery Center, Inc
Authorized official Ryan Essex — Chief Operating Officer · (573) 803-4145
Other names Hillcrest Counseling Associates
NPI enumeratedJuly 8, 2011
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024
Mailing address340 S Broadview St, Cape Girardeau, MO 63703-5703

Other providers in Cape Girardeau