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

Mr. Gary Grant Gibson, LPC, NCC, LPCC

Individual provider Mental Health Counselor · NPI 1255526174

Mr. Gary Grant Gibson, LPC, NCC, LPCC is a Mental Health Counselor in Grand Rapids, Minnesota. Qualified in 1997, 29 years ago. Practices with Grand Itasca Clinic and Hospital, a 325-clinician group and accepts Medicare assignment. Licensed in Minnesota and Virginia.

Years since qualifying
29
Licensed in
MN, VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone: (540) 682-3498
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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 00016 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 0701003993 (VA)

Record details

NPI number1255526174
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , NCC , LPCC
Sole proprietorYes
NPI enumeratedSeptember 13, 2007
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Grand Itasca Clinic And Hospital — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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