Organization Active NPI

Kibby Christian Counseling LLC

Doing business as Kibby Christian Counseling

  • Adult Mental Health Clinic/Center
  • Fostoria, OH
National Provider Identifier
1881494383
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KIBBY CHRISTIAN COUNSELING LLC
Doing business as
Kibby Christian Counseling
Practice address
11051 Autumn LN
Fostoria, OH 44830-3309
Phone
(725) 236-0525
Fax
(725) 236-0525
NPI assigned
Mar 14, 2025
Last updated
Apr 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Authorized official

Name
Mr. Andre Williams, LCPC,LPCCNPI 1699012898
Title
Ceo
Phone
(725) 236-0525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

11051 Autumn LN
Fostoria, OH 44830-3309

Mailing address

11051 Autumn LN
Fostoria, OH 44830-3309
Phone (725) 236-0525

Other names 1

  • Kibby Christian Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745625600000",
    "number": "1881494383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11051 AUTUMN LN",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448303309",
            "telephone_number": "725-236-0525",
            "fax_number": "725-236-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11051 AUTUMN LN",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448303309",
            "telephone_number": "725-236-0525",
            "fax_number": "725-236-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIBBY CHRISTIAN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "725-236-0525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC,LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kibby Christian Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kibby Christian Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fostoria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; 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.