Michael Ray Tibbs

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

5635 Kansas Ave # 225
Omaha, NE 68104-1226

Phone

(140) 296-0978

Fax

(402) 227-6491

NPI assigned

May 24, 2023

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1053003327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 HOCUS POCUS PL",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890023502",
            "telephone_number": "702-683-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 KANSAS AVE # 225",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681041226",
            "telephone_number": "140-296-0978",
            "fax_number": "402-227-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBS",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Tiaden, PHYSICIAN ASSISTANT
• Yuqian Tian, MD
• Danielle Tibbels, MD
• Brenton Tibbs
• Carl Tibbs
• Lindsay Tiberi
• Valerie Tibke
• Tiburon Family Dental PC
• Kay Eileen Ticen, M.D.
• Samantha A Tichenor, APRN-CRNA

• Pastoral Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Pastoral Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.