Matthew Tibbs, MA, LPC-MHSP, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6806 Issued in TN

Practice address

2112 N Roan St Ste 300
Johnson City, TN 37601-2519

Phone

(865) 588-3173

Fax

(865) 244-3579

NPI assigned

Apr 18, 2023

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

Enrolled in TN

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

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healthy Mind Counseling Services, IncGroup PAC ID 8325093081, 120 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Healthy Mind Counseling Services, Inc

  • Clinical Social Worker
  • Knoxville, TN
  • NPI 1457409898
  Medicare reassignment Care Compare group NPD
• Clinical & Forensic Consultation, LLC

  • Professional Counselor
  • Thompsons Station, TN
  • NPI 1790106979
  NPD

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1508553843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 N ROAN ST STE 300",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012519",
            "telephone_number": "865-588-3173",
            "fax_number": "865-244-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 N ROAN ST STE 300",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012519",
            "telephone_number": "865-588-3173",
            "fax_number": "865-244-3579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Lamont St. & Veteran's Way",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "37604",
            "country_code": "US",
            "telephone_number": "423-926-1171 x7096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIBBS",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "MA, LPC-MHSP, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "6806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Thrift
• Thrive in Dignity LLC
• Thriverx
• Paul Thurdekoos, MD
• Cindy Alyne Thurlow
• Frankie Tidwell, FNP-C
• David Tierney, PHD
• Monica Renee Tiller
• John E Tillman, D.D.S.
• Christian Xavier Timmis, DO

• Professional Counselor in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.

Verify at the official NPI Registry.