Heather Patricia Libbey, PHD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5282 Issued in MN

Practice address

1599 Selby Ave Ste 208
Saint Paul, MN 55104-6218

Phone

(651) 583-7899

Fax

(651) 583-7907

NPI assigned

Aug 11, 2010

Last updated

Sep 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• The Beacon Clinic, PLLC

  • Clinical Psychologist
  • Saint Paul, MN
  • NPI 1023357175
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1932414299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 SELBY AVE STE 208",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046218",
            "telephone_number": "651-583-7899",
            "fax_number": "651-583-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 SELBY AVE STE 208",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046218",
            "telephone_number": "651-583-7899",
            "fax_number": "651-583-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBEY",
        "first_name": "HEATHER",
        "middle_name": "PATRICIA",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "5282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Min Tong Li
• Rebecca W. S. Lai Li, MD
• Fubo Liang, PHARMD
• Sixing Liang, D.O.
• Ji-Chia Liao, MD
• Jennifer Libby, PA-C
• Kayla Libby, DDS
• Sarah Ann Licari, LADC
• Kristy Jordan Lichtenberg, PA
• Rebekah Lichty

• Clinical Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.