Individual provider Active NPI

Paula G Libbey, LISW

  • Mental Health Counselor
  • Canfield, OH
National Provider Identifier
1629026687
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I8043 Issued in OH
Practice address
3974 Boardman Canfield Rd
Canfield, OH 44406
Phone
(330) 533-6767
Fax
(330) 533-1665
NPI assigned
May 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I8043 OH Primary

Addresses

Primary practice location

3974 Boardman Canfield Rd
Canfield, OH 44406

Mailing address

3974 Boardman Canfield Rd
Canfield, OH 44406
Phone (330) 533-6767

Other identifiers 1

IdentifierTypeStateIssuer
2053647MedicaidOH

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20060201000413 OH Practitioner - Clinical Social Worker 4183638919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Counseling Solutions LLCGroup PAC ID 2860799459, 11 clinicians

Practice addresses (Care Compare)

5204 Mahoning Ave
Suite 105
Youngstown, OH 44515-1808
Phone (330) 797-0036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I8043OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Counseling Solutions LLC CurrentSince Jul 15, 2020 Accepting new patients

Locations

3974 Boardman Canfield Rd
Canfield, OH 44406
Phone (330) 533-6767

1025 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 629-2434

5204 Mahoning Ave
Ste 105
Youngstown, OH 44515
Phone (330) 797-0036

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629026687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3974 BOARDMAN CANFIELD RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "44406",
            "telephone_number": "330-533-6767",
            "fax_number": "330-533-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3974 BOARDMAN CANFIELD RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "44406",
            "telephone_number": "330-533-6767",
            "fax_number": "330-533-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBEY",
        "first_name": "PAULA",
        "middle_name": "G",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I8043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2053647",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

Verify at the official NPI Registry.