MS. JESSICA SUSAN HIBBS LCPC
NPI 1194379784
Counselor - Professional in Berlin, MD

Active since July 31, 2019
10026 MAIN ST BLDG 1, BERLIN, MD 21811(410) 973-2211(443) 782-0350 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2021, Aug 1, 2019 (2 updates tracked since 2019).

About Ms. Jessica Susan Hibbs Lcpc NPPES

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

MS. JESSICA SUSAN HIBBS LCPC (NPI 1194379784) is an individual professional provider in Berlin, Maryland, licensed in Maryland (LC11740) and active in the NPI registry since July 2019. She maintains a secondary practice location in Salisbury.

NPPES Registry Identity

NPI1194379784
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. JESSICA SUSAN HIBBSCredential: LCPC
Location Address10026 MAIN ST BLDG 1Berlin, MD 21811-3206
Mailing Address10026 Main St Bldg 1Berlin, MD 21811-3206 · (410) 973-2211 · Fax (443) 782-0350
Fax(443) 782-0350
Sole ProprietorNo
Enumeration DateJuly 31, 2019
Last NPPES UpdateJuly 28, 20212 updates tracked since enumeration
NPPES CertifiedJuly 28, 2021
NPI 1194379784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MD · LC11740
Also ListedCounselorTaxonomy 101Y00000X · License LGP9764 (MD)
10026 MAIN ST BLDG 1, Berlin, MD 21811

Other Names 1

Former Name (1)Ms. Jessica Susan Diaz

Secondary Practice Location 1

Location 11813 Sweetbay DrSalisbury, MD 21804-1663 · Phone (410) 219-5483 · Fax (410) 219-5486

Other Identifiers 2

OtherLC11740MD · License
Medicaid119591300MD

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
10026 MAIN ST BLDG 1
BERLIN, MD 21811
Social Worker
10026 MAIN ST BLDG 1
BERLIN, MD 21811

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 Jessica Hibbs's NPI number?

The NPI number for Jessica Hibbs is 1194379784. It was assigned to this individual provider in the NPPES registry on July 31, 2019. The provider is also known as Ms. Jessica Susan Diaz.

Where is Jessica Hibbs located?

Jessica Hibbs practices at 10026 Main St Bldg 1, Berlin, MD 21811. The listed phone number is (410) 973-2211.

What is Jessica Hibbs's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jessica Hibbs was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.