Individual provider Active NPI

Carla Michelle Hibbs, LPC

  • Professional Counselor
  • Wichita, KS
National Provider Identifier
1871368878
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC04557 Issued in KS
Practice address
7926 W 21St St N
Wichita, KS 67205-1742
Phone
(316) 272-5502
Fax
(316) 462-5640
NPI assigned
Nov 20, 2023
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC04557 KS
Mental Health Counselor 101YM0800X LPC04557 KS
Professional Counselor 101YP2500X LPC04557 KS Primary
School Counselor 101YS0200X 1331142121 KS

Addresses

Primary practice location

7926 W 21St St N
Wichita, KS 67205-1742

Mailing address

1349 N Argonia Rd
Milton, KS 67106-8012
Phone (316) 204-6484

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

LicenseStateTypeSpecialty
LPC04557KSMDProfessional Counselor
1331142121KSMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
KJM Ventures Inc CurrentSince Dec 17, 2023 Accepting new patients
Restoration Counseling & Consultation, P.a. Professional PastSince Nov 26, 2023 Accepting new patients

Locations

209 S Parkway St
Norwich, KS 67118

7926 W 21st St N
Wichita, KS 67205
Phone (316) 272-5502

Organizations & group practices 2

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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1871368878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 N ARGONIA RD",
            "city": "MILTON",
            "state": "KS",
            "postal_code": "671068012",
            "telephone_number": "316-204-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7926 W 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051742",
            "telephone_number": "316-272-5502",
            "fax_number": "316-462-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBS",
        "first_name": "CARLA",
        "middle_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KS",
            "license": "LPC04557",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "LPC04557",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "LPC04557",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "KS",
            "license": "1331142121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.