MAXINE TIBBETTS LCMHC
NPI 1073992772
Counselor - Mental Health in Bunnlevel, NC
About Maxine Tibbetts Lcmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAXINE TIBBETTS LCMHC (NPI 1073992772) is an individual mental health provider in Bunnlevel, North Carolina, licensed in North Carolina (15327) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maxine Tibbetts Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Maxine Tibbetts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bunnlevel, NC 28323
- Reassigned Medicare billing, North Carolina enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Maxine Tibbetts's NPI number?
The NPI number for Maxine Tibbetts is 1073992772. It was assigned to this individual provider in the NPPES registry on May 27, 2015.
Where is Maxine Tibbetts located?
Maxine Tibbetts practices at 749 Lasater Rd, Bunnlevel, NC 28323. The listed phone number is (910) 257-8778.
What is Maxine Tibbetts's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Maxine Tibbetts enrolled in Medicare?
Yes. Maxine Tibbetts is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Maxine Tibbetts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maxine Tibbetts reassigns Medicare benefits to Dunndeal Counseling Services PLLC (Bunnlevel, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maxine Tibbetts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Maxine Tibbetts accept?
Health plans from Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Maxine Tibbetts as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Maxine Tibbetts was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Maxine Tibbetts, LCMHC · NPI 1073992772
Mental Health provider in Bunnlevel, North Carolina. Individual provider, active in the CMS NPPES registry since May 27, 2015.
## Identity
- **NPI:** 1073992772 (Entity type: Individual)
- **Enumerated:** May 27, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 15327 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 749 LASATER RD, Bunnlevel, NC 28323-9137
- **Phone:** (910) 257-8778
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Dunndeal Counseling Services PLLC (NPI 1255055125, Bunnlevel, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2022
- **Other identifiers:** Medicaid 1073992772 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1073992772) · Data from the CMS NPPES public registry.