Active NPI
Kindra Hibbard, LCPC, LMHC
- Professional Counselor
- Lewiston, ID
National Provider Identifier
1972746519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC 4160
- Practice address
- 312 Miller St
Lewiston, ID 83501-1944 - Phone
- (208) 750-1802
- Fax
- (208) 750-1803
- NPI assigned
- Apr 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60086695 | WA | |
| Professional Counselor | 101YP2500X | LCPC 4160 | ID | Primary |
Addresses
Primary practice location
312 Miller St
Lewiston, ID 83501-1944
Mailing address
2901 Knoll Crest Dr
Lewiston, ID 83501-6707
Phone (208) 750-1802
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LH60086695 | Other | WA | STATE LICENSURE |
| LCPC-4160 | Other | ID | STATE LICENSURE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH60086695 | WA | MD | Mental Health Counselor |
| LCPC 4160 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524182400000",
"number": "1972746519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 KNOLL CREST DR",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835016707",
"telephone_number": "208-750-1802",
"fax_number": "208-750-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 MILLER ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835011944",
"telephone_number": "208-750-1802",
"fax_number": "208-750-1803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIBBARD",
"first_name": "KINDRA",
"credential": "LCPC, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-13",
"last_updated": "2018-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60086695",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC 4160",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE",
"identifier": "LH60086695",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE",
"identifier": "LCPC-4160",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.