Active NPI
Michael Wayne Bibbs, LPE-I
- Psychologist
- Little Rock, AR
National Provider Identifier
1588809750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 09-13EI
- Practice address
- 1701 Centerview Dr Ste 200
Little Rock, AR 72211-4312 - Phone
- (501) 644-9744
- Fax
- (501) 492-6473
- NPI assigned
- Dec 2, 2008
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 09-13EI | AR | Primary |
Addresses
Primary practice location
1701 Centerview Dr Ste 200
Little Rock, AR 72211-4312
Mailing address
1701 Centerview Dr Ste 200
Little Rock, AR 72211-4312
Phone (501) 644-9744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09-13EI | AR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Rock Counseling PA | Current | Accepting new patients |
Locations
1701 Centerview Dr
Ste 200
Little Rock, AR 72211
Phone (501) 217-4000
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Little Rock, AR
- NPI 1528834330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709942400000",
"number": "1588809750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 CENTERVIEW DR STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114312",
"telephone_number": "501-644-9744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 CENTERVIEW DR STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114312",
"telephone_number": "501-644-9744",
"fax_number": "501-492-6473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIBBS",
"first_name": "MICHAEL",
"middle_name": "WAYNE",
"credential": "LPE-I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-02",
"last_updated": "2024-03-09",
"certification_date": "2024-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AR",
"license": "09-13EI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.