Brenda Lee McKibbin, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC012639 Issued in PA

Practice address

837 5TH Ave
Ford City, PA 16226-1108

Phone

(724) 763-7600

Fax

(724) 763-7693

NPI assigned

Oct 29, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Counseling Center of Armstrong CountyGroup PAC ID 6002706736, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Counseling Center of Armstrong County

  • Community/Behavioral Health Agency
  • Kittanning, PA
  • NPI 1528058864
  Medicare reassignment Care Compare group
• Family a.C.T.S., Inc.

  • Community/Behavioral Health Agency
  • Ford City, PA
  • NPI 1427239292
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1023618923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 5TH AVE",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162261108",
            "telephone_number": "724-763-7600",
            "fax_number": "724-763-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 5TH AVE",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162261108",
            "telephone_number": "724-763-7600",
            "fax_number": "724-763-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIBBIN",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L Maher Jr., PHARM.D.
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• Karla D McCann, DO
• William J McCann Jr., D.O.
• Christine A Mecca, RPH
• Samantha Meiers, LPC
• Marc Miller, P.T.
• Myah'S House of Hope
• O G Bowser DMD LTD

• Professional Counselor in Ford City, PA
• Providers in Ford City, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.