William Meredith Lybarger, ED.D

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PS002588L Issued in PA

Practice address

2370 York Rd.
Suite D4
Jamison, PA 18929-1031

Phone

(215) 968-7600

Fax

(215) 968-7609

NPI assigned

Aug 15, 2006

Last updated

Jan 21, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 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

Clinical Psychologist

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Geropsych, LLCGroup PAC ID 2062659584, 17 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Geropsych, LLC

  dba Ethos Clinic

  • Geriatric Psychiatry Physician
  • Lehighton, PA
  • NPI 1588900815
  Medicare reassignment Care Compare group NPD
• Hope Springs Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Jamison, PA
  • NPI 1083031793
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1194738633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 YORK RD.",
            "address_2": "SUITE D4",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189291031",
            "telephone_number": "215-491-9900",
            "fax_number": "215-491-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 YORK RD.",
            "address_2": "SUITE D4",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189291031",
            "telephone_number": "215-968-7600",
            "fax_number": "215-968-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYBARGER",
        "first_name": "WILLIAM",
        "middle_name": "MEREDITH",
        "name_prefix": "Mr.",
        "credential": "ED.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS-002588-L",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS002588L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Marie Legnetti, M.A. SLP
• Jae Leyson, PT, DPT
• Jeffrey Leyson
• Life Support Corporation
• Lifehelp Homecare LLC
• Alicia Lynch, LAPC
• Jensen Macaulay, MSW, LSW
• Abin Mathew, DPT
• McGlynn Chiropractic
• Richard D Mercadante, D.C.

• Counseling Psychologist in Jamison, PA
• Providers in Jamison, PA by specialty
• Counseling Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.