Teresa Ann McKibben, MS, PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

BBH-LCPC-LIC-79265 Issued in MT

Practice address

408 Wendell Ave
Lewistown, MT 59457-2261

Phone

(406) 535-1502

NPI assigned

Apr 24, 2008

Last updated

May 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Montana Medical Facilities, Inc

  dba Central Montana Medical Center

  • Critical Access Hospital
  • Lewistown, MT
  • NPI 1790798387
  Medicare reassignment NPD
• Central Montana Medical Facilities, Inc.

  dba Central Montana Medical Center Clinic

  • Family Medicine Physician
  • Lewistown, MT
  • NPI 1497868814
  Medicare reassignment NPD
• Central Montana Medical Facilities, Inc.

  dba Central Montana Medical Center CRNA

  • Certified Registered Nurse Anesthetist
  • Lewistown, MT
  • NPI 1336252758
  NPD
• Central Montana Medical Facilities, Inc.

  dba Central Montana Medical Center Ambulance

  • Land Ambulance
  • Lewistown, MT
  • NPI 1770696601
  NPD

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1073788774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 COLUMBUS AVE",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361754",
            "telephone_number": "513-932-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 WENDELL AVE",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594572261",
            "telephone_number": "406-535-1502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450361754",
            "country_code": "US",
            "telephone_number": "513-932-4337 x1995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKIBBEN",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "credential": "MS, PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-79265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Malak
• Eri Ogami Martin, LCPC
• Kurt McCaulay, MSW, LAC
• Lynde McCollum, PHARMD, RPH
• James McKay, LAC
• Haley McMahon
• Joan M McMahon, MD
• Richard Bruce McMaster, OD
• Kensey Mikkelsen, DPT
• A'Lynn Mikkelson, LMT, AHAP, NCTMB

• Mental Health Counselor in Lewistown, MT
• Providers in Lewistown, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.