Individual provider · Type 1 NPI

Matthew Tibbs, MA, LPC-MHSP, NCC

Professional Counselor · Johnson City, TN

NPI number 1508553843 Active

Practice location

2112 N Roan St Ste 300
Johnson City, TN 37601-2519

Fax (865) 244-3579

Other practice locations

  • Lamont St. & Veteran's Way, Johnson City, TN 37604 · (423) 926-1171

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6806 (TN)

Professional Counselor: Definition to come...

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About NPI 1508553843

Matthew Tibbs, MA, LPC-MHSP, NCC's National Provider Identifier is 1508553843, issued on Apr 18, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Johnson City, TN. The record was last updated on Jan 8, 2026.