Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Brian Gibson, MA, LPC, CPCS

Individual provider Professional Counselor · NPI 1174151138

John Brian Gibson, MA, LPC, CPCS is a Mental Health Counselor in Villa Rica, Georgia. Qualified in 2006, 20 years ago. Licensed in Georgia.

Years since qualifying
20
Licensed in
GA
In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

20 Herrell Rd
Villa Rica, GA 30180-5527
Phone: (770) 456-3034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC6018 (GA)

Record details

NPI number1174151138
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPC , CPCS
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESMarch 27, 2020
Certification dateMarch 27, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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