MS. ROXANNE KIBBEN LADC
NPI 1174095483
Counselor - Addiction (Substance Use Disorder) in Maplewood, MN

Q: What is Roxanne Kibben's NPI number?

The NPI number for Roxanne Kibben is 1174095483. It was assigned to this individual provider in the NPPES registry on December 27, 2018.

Q: What is Roxanne Kibben's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Roxanne Kibben was last updated on December 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 27, 2018

1695 EDGEMONT ST, MAPLEWOOD, MN 55117(443) 822-6747 Get Directions Write a Review

NPPES record last updated: December 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Roxanne Kibben Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ROXANNE KIBBEN LADC (NPI 1174095483) is an individual addiction (substance use disorder) provider in Maplewood, Minnesota, licensed in Minnesota (300773) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1174095483

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMS. ROXANNE KIBBENCredential: LADC

Location Address1695 EDGEMONT STMaplewood, MN 55117-2416

Mailing Address1695 Edgemont StMaplewood, MN 55117-2416 · (443) 822-6747

Phone(443) 822-6747

Sole ProprietorYes

Enumeration DateDecember 27, 2018

✔ NPI 1174095483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MN · 300773

1695 EDGEMONT ST, Maplewood, MN 55117

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Other Identifiers 1

Other300773MN · Licensed Alcohol Drug Counselor

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 Roxanne Kibben's NPI number?

The NPI number for Roxanne Kibben is 1174095483. It was assigned to this individual provider in the NPPES registry on December 27, 2018.

Where is Roxanne Kibben located?

Roxanne Kibben practices at 1695 Edgemont St, Maplewood, MN 55117. The listed phone number is (443) 822-6747.

What is Roxanne Kibben's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Roxanne Kibben was last updated on December 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.