Miss Shatangela Gibbs, LPC in Bloomfield Hills, MI

Miss Shatangela Gibbs, LPC is a medicare enrolled "Counselor - Professional" provider in Bloomfield Hills, Michigan. Her current practice location is 7 W Square Lake Rd, Bloomfield Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 221-2699.

Miss Shatangela Gibbs is licensed to practice in Michigan (license number 6401019167) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013574037.

Contact Information

	Miss Shatangela Gibbs, LPC
	7 W Square Lake Rd, Bloomfield Hills, MI 48302-0462
	(248) 221-2699
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Shatangela Gibbs
Gender	Female
Speciality	Counselor - Professional
Location	7 W Square Lake Rd, Bloomfield Hills, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013574037
Provider Enumeration Date: 05/24/2019
Last Update Date: 05/18/2021

Medicare PECOS Information:

PECOS PAC ID: 3577008713
Enrollment ID: I20240712000757

Medical Identifiers

Medical identifiers for Miss Shatangela Gibbs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013574037	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401017177 (Michigan)	Secondary
101YP2500X	Counselor - Professional	6401019167 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Shatangela Gibbs allows following entities to bill medicare on her behalf.

Entity Name	Detroit Central City Community Mental Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285043406 PECOS PAC ID: 3274728829 Enrollment ID: O20101109001334

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Shatangela Gibbs is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Miss Shatangela Gibbs, LPC 7 W Square Lake Rd, Bloomfield Hills, MI 48302-0462 Ph: (248) 221-2699	Miss Shatangela Gibbs, LPC 7 W Square Lake Rd, Bloomfield Hills, MI 48302-0462 Ph: (248) 221-2699

Reviews and Comments

Counselor in Bloomfield Hills, MI

Mrs. Christie Lee Azzam, MA, LLP, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7457 Franklin Rd, Suite 303, Bloomfield Hills, MI 48301 Phone: 248-761-5810
Anne Kristine Herrick, Counselor Medicare: Accepting Medicare Assignments Practice Location: 719 N Valley Chase Rd, Bloomfield Hills, MI 48304 Phone: 248-723-9017
Pamela Cockels, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 74 W Long Lake Rd, Suite 104, Bloomfield Hills, MI 48304 Phone: 248-642-6066 Fax: 248-642-5739
Ms. Jesse Allgeier, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 74 W Long Lake Rd, Suite 104, Bloomfield Hills, MI 48304 Phone: 248-642-6066 Fax: 248-642-5739
Katherine R Parker, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3817 Quarton Rd, Bloomfield Hills, MI 48302 Phone: 248-702-4609
Mrs. Judith Shredneski, M.A., LLPC Counselor Medicare: Medicare Enrolled Practice Location: 10 W Square Lake Rd, Suite 302, Bloomfield Hills, MI 48302 Phone: 248-977-5930

Miss Shatangela Gibbs, LPC - Medicare Counselor in Bloomfield Hills, MI