NPI age
10 years
Enumerated 2015-07-13
● Active Type 2 · Organization
Liberty Provider Consulting & Credentialing
Liberty Provider Consulting & Credentialing is 1 of 7 specialist organizations in Texas.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gibson
Ceo
Last NPPES update
2015-07-13
Source: monthly bulk 2026-05
How this organization compares
Across 7 active specialist providers in Texas.
NPI age
10 years
≈ at median (10 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-07Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
2650 Thousand Oaks Dr., Suite 2902
San Antonio, TX 782324149
Mailing address
2650 Thousand Oaks Dr., Suite 2902
San Antonio, TX 782324149
Authorized official
Tracy Gibson, CCS
Ceo
📞 2107013494
Specialties
-
Specialist PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
LPC&C
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.