Erick T Hibbler

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CDI-200 Issued in MS

Practice address

411 Oak Street
Richton, MS 39476-3947

Phone

(601) 408-0719

NPI assigned

Mar 5, 2021

Last updated

Mar 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Behavioral Consultant Solutions, LLC

  • Clinical Social Worker
  • Richton, MS
  • NPI 1427786003

  Single Specialty

  NPD
• Community Development Inc

  dba Community Family Medical Clinic

  • Rural Health Clinic/Center
  • Richton, MS
  • NPI 1235081118
  NPD (past)

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1689269102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "RICHTON",
            "state": "MS",
            "postal_code": "394760689",
            "telephone_number": "601-408-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 OAK STREET",
            "city": "RICHTON",
            "state": "MS",
            "postal_code": "394763947",
            "telephone_number": "601-408-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBLER",
        "first_name": "ERICK",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "CDI-200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Thibbler0719@gmail.com",
            "affiliation": "N",
            "address_1": "411 oak street",
            "city": "Richton",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394763947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robin Delain Greene-Brownlee, FNP
• Angela Denise Haigler, NP-C
• Hattiesburg Clinic, PA (Richton Family Medicine)
• Hattiesburg Clinic, PA (Richton Dialysis Unit)
• Mandalynn Nichole Hession
• Jill D Hickmon
• Caleb Jatrell Hinton, RMA, RPT
• Hannah Dean Inman, OTR/L
• Justin Knight, PTA
• Leaf River Home Health Care, LLC

• Mental Health Counselor in Richton, MS
• Providers in Richton, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.