OrganizationActive
Constace Gibson, Mft LLC
NPI 1124856364 · Community/Behavioral Health Agency · Santa Rosa, CA
Constace Gibson, Mft LLC is a Community/Behavioral Health Agency organization in Santa Rosa, CA (NPI 1124856364).
Provider details
- NPI number
- 1124856364
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Constance Gibson, Owner(707) 583-9287
Specialties & taxonomies
Agencies
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2613 Village Side Dr
Santa Rosa, CA 95405-6849
Phone: (707) 583-9287
Street-level locationGet directions
Mailing address
Po Box 11746
Olympia, WA 98508-1746
Other names (DBA / former)
- Doing business as
- Constance Gibson, Mft
Registry dates
- Enumerated
- 2024-07-22
- Last updated
- 2024-07-22
- Certified
- 2024-07-19
Frequently asked questions
- What is Constace Gibson, Mft LLC's NPI number?
- Constace Gibson, Mft LLC's National Provider Identifier (NPI) is 1124856364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Constace Gibson, Mft LLC?
- Constace Gibson, Mft LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Constace Gibson, Mft LLC located?
- Constace Gibson, Mft LLC's practice location on file with NPPES is 2613 Village Side Dr, Santa Rosa, CA 95405-6849.
- What is Constace Gibson, Mft LLC's phone number?
- The practice phone number listed in the NPPES registry for Constace Gibson, Mft LLC is (707) 583-9287.
- Who is the authorized official for Constace Gibson, Mft LLC?
- The authorized official listed on Constace Gibson, Mft LLC's NPPES record is Constance Gibson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Constace Gibson, Mft LLC's NPI active?
- Yes — Constace Gibson, Mft LLC's NPI (1124856364) is active in the NPPES registry as of the last update on 2024-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.