Michael E Hibbard, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC4701 Issued in MD

Practice address

507 West Dr
Severna Park, MD 21146-2623

Phone

(443) 255-4466

NPI assigned

Dec 17, 2011

Last updated

Sep 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Opted out of Medicare

Yes, effective May 6, 2024 through May 6, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hibbard Therapy, LLC

  • Clinical Social Worker
  • Severna Park, MD
  • NPI 1841621646
  NPD (past)

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

{
    "created_epoch": "1324080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1225307499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 WILETT DR",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461920",
            "telephone_number": "443-255-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 WEST DR",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462623",
            "telephone_number": "443-255-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBARD",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-17",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Hernandez
• Kelsey Herndon, RBT
• Brooke Herrera, MS/OTR/L
• Heynow Senior Therapy, LLC
• Hibbard Therapy, LLC
• Stephanie Katherine Hibbard, LCSWC
• Shelby Hibbs, MSOTRL
• Ashley Sarah Higgins, BEHAVIOR TECHNICIAN
• High Precision Components, Inc. (Health and Mobility)
• Candice Hill-Bowling, LMSW

• Professional Counselor in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.