Organization Active NPI

Kibby & Associates Behavioral Health LLC

  • Adult Mental Health Clinic/Center
  • Southside, AR
National Provider Identifier
1366306771
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KIBBY & ASSOCIATES BEHAVIORAL HEALTH LLC
Practice address
1997 Batesville Blvd
Southside, AR 72501-7896
Phone
(214) 232-0674
NPI assigned
Dec 10, 2025
Last updated
Feb 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Paul Craig Kibby, PMHNPNPI 1083319750
Title
Aprn
Phone
(214) 232-0674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1997 Batesville Blvd
Southside, AR 72501-7896

Mailing address

1997 Batesville Blvd
Southside, AR 72501-7896
Phone (214) 232-0674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260317003433 AR Part B Supplier - Clinic/Group Practice 0345724464 Receives reassigned benefits from 1 practitioner
Practice locations: Southside, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1366306771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 BATESVILLE BLVD",
            "city": "SOUTHSIDE",
            "state": "AR",
            "postal_code": "725017896",
            "telephone_number": "214-232-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 BATESVILLE BLVD",
            "city": "SOUTHSIDE",
            "state": "AR",
            "postal_code": "725017896",
            "telephone_number": "214-232-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIBBY & ASSOCIATES BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "KIBBY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "214-232-0674",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southside, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.