Active NPI
Paul R Hibbard Jr.
- Mental Health Counselor
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC013888
- Practice address
- 409 W 10TH St NE
Rome, GA 30165-2640 - Phone
- (706) 406-5092
- NPI assigned
- Jul 19, 2016
- Last updated
- Jul 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC013888 | GA | Primary |
Addresses
Primary practice location
409 W 10TH St NE
Rome, GA 30165-2640
Mailing address
409 W 10TH St NE
Rome, GA 30165-2640
Phone (706) 406-5093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
424 N Main St
Cedartown, GA 30125-2698
Phone 70627050001125
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC013888 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Rivers CSB | Current | Accepting new patients | |
| Highland Rivers Community Service Board | Current | Accepting new patients | |
| Georgia Foot & Ankle Specialists | Current | Accepting new patients | |
| Mindset for Prosperity LLC | Current | Accepting new patients |
Locations
191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600
424 N Main St
Cedartown, GA 30125
Phone (770) 748-2500
1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507
409 W 10th St NE
Rome, GA 30165
Phone (706) 232-3888
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1447256243
-
- Podiatric Clinic/Center
- Rome, GA
- NPI 1801939293
-
dba Highland Rivers Whitfield Treatment Services
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1164585543
-
- Psychiatric/Mental Health Nurse Practitioner
- Rome, GA
- NPI 1902545981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1437502069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 W 10TH ST NE",
"city": "ROME",
"state": "GA",
"postal_code": "301652640",
"telephone_number": "706-406-5093",
"fax_number": "888-807-5863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 W 10TH ST NE",
"city": "ROME",
"state": "GA",
"postal_code": "301652640",
"telephone_number": "706-406-5092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIBBARD",
"first_name": "PAUL",
"middle_name": "R",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-19",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC013888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.