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

Raven Nicole Gibbs

Individual provider Professional Counselor · NPI 1740924786

Raven Nicole Gibbs is a Mental Health Counselor in Durham, North Carolina. Qualified in 2022, 4 years ago. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
Specialties on file
2

Practice location Address checks out

249 E Nc Highway 54 Ste 320
Durham, NC 27713-2490
Phone: (919) 907-3334
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A17526 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence A17526 (NC)

Record details

NPI number1740924786
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 26, 2022
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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