Baleigh Sims Stibbens, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106915 Issued in TX

Practice address

14010 County Road 4041
Scurry, TX 75158-4381

Phone

(469) 474-8707

NPI assigned

Dec 4, 2024

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Heart of Texas Therapy Services PLLC

  • Mental Health Counselor
  • College Station, TX
  • NPI 1417725078
  NPD (past)

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1255147385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31",
            "city": "SCURRY",
            "state": "TX",
            "postal_code": "751580031",
            "telephone_number": "469-474-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14010 COUNTY ROAD 4041",
            "city": "SCURRY",
            "state": "TX",
            "postal_code": "751584381",
            "telephone_number": "469-474-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIBBENS",
        "first_name": "BALEIGH",
        "middle_name": "SIMS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "106915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Eugene Kitchen, LPC, LCDC
• Theresa Rae Lisenby, RN,CEO, INSTRUCTOR
• Prospect Mountain Therapeutic Riding Center
• Scurry-Rosser Independent School District
• Sandra Lynn Starnes
• Lawrene Villarreal
• Eric A Ward, LPC

• All providers in Scurry, TX
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.