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MR. CLYDE EUGENE TIBBETT JR.
NPI 1235663006
Marriage & Family Therapist in Redding, CA

Active since April 18, 2017PECOS Enrolled
1650 OREGON ST STE 111, REDDING, CA 96001(530) 962-0307 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 22, 2023, Sep 29, 2021, Sep 5, 2020 and 1 more (4 updates tracked since 2017).

About Mr. Clyde Eugene Tibbett Jr. NPPES

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

MR. CLYDE EUGENE TIBBETT JR. (NPI 1235663006) is an individual marriage & family therapist in Redding, California, licensed in California (LMFT113432) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235663006
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. CLYDE EUGENE TIBBETT JR.
Location Address1650 OREGON ST STE 111Redding, CA 96001-1754
Mailing Address1650 Oregon St Ste 111Redding, CA 96001-1754
Phone(530) 962-0307
Sole ProprietorNo
Enumeration DateApril 18, 2017
Last NPPES UpdateFebruary 22, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ NPI 1235663006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · LMFT113432
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1650 OREGON ST STE 111, Redding, CA 96001
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Clyde Eugene Tibbett Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Clyde Tibbett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Redding Rancheria
0.5 mi
Federally Qualified Health Center (FQHC)
1441 LIBERTY ST
Redding, CA 96001
  • Reassigned Medicare billing, California enrollment
  • 54 clinicians in this Medicare group
NPI 1104859354 (530) 226-1753
County Of Shasta
2.3 mi
Mental Health (Including Community Mental Health Center)
2640 BRESLAUER WAY
Redding, CA 96001
  • Reassigned Medicare billing, California enrollment
  • 24 clinicians in this Medicare group
NPI 1881692390 (530) 225-5200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Clyde Tibbett's NPI number?

The NPI number for Clyde Tibbett is 1235663006. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Clyde Tibbett located?

Clyde Tibbett practices at 1650 Oregon St Ste 111, Redding, CA 96001. The listed phone number is (530) 962-0307.

What is Clyde Tibbett's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Clyde Tibbett enrolled in Medicare?

Yes. Clyde Tibbett is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Clyde Tibbett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clyde Tibbett reassigns Medicare benefits to 2 organizations: Redding Rancheria (Redding, CA) and County Of Shasta (Redding, CA). Each 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 Clyde Tibbett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Clyde Tibbett was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.