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

Ellen Gibson, PRSS-SUD

Individual provider Peer Specialist · NPI 1265228050

Ellen Gibson, PRSS-SUD is a Peer Specialist in Princeton, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2025

Practice location Address checks out

200 12th Street Ext
Princeton, WV 24740-2329
Phone: (304) 425-9541
Fax: (304) 800-4562
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 24-9179 (WV)

Record details

NPI number1265228050
Entity typeIndividual (Type 1)
GenderFemale
Credentials PRSS-SUD
Sole proprietorYes
NPI enumeratedApril 17, 2025
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025
Mailing address200 12th Street Ext, Princeton, WV 24740-2329

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