KIBBY & ASSOCIATES BEHAVIORAL HEALTH LLC
NPI 1366306771
Clinic/Center - Adult Mental Health in Southside, AR
About Kibby & Associates Behavioral Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIBBY & ASSOCIATES BEHAVIORAL HEALTH LLC (NPI 1366306771) is a healthcare organization registered as an adult mental health in Southside, Arkansas and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Paul Craig Kibby, Aprn, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kibby & Associates Behavioral Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kibby & Associates Behavioral Health LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 04D2335549
Kibby & Assocates Behavoral Health · Southside, ARFrequently 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 Kibby & Associates Behavioral Health LLC's NPI number?
The NPI number for Kibby & Associates Behavioral Health LLC is 1366306771. It was assigned to this organization in the NPPES registry on December 10, 2025.
Where is Kibby & Associates Behavioral Health LLC located?
Kibby & Associates Behavioral Health LLC is located at 1997 Batesville Blvd, Southside, AR 72501. The listed phone number is (214) 232-0674.
What is Kibby & Associates Behavioral Health LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Kibby & Associates Behavioral Health LLC enrolled in Medicare?
Yes. Kibby & Associates Behavioral Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kibby & Associates Behavioral Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kibby & Associates Behavioral Health LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kibby & Associates Behavioral Health LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2335549) is associated with this NPI, valid through December 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Kibby & Associates Behavioral Health LLC was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Kibby & Associates Behavioral Health Llc · NPI 1366306771
Adult Mental Health organization in Southside, Arkansas. Organization record, active in the CMS NPPES registry since December 10, 2025.
## Identity
- **NPI:** 1366306771 (Entity type: Organization)
- **Enumerated:** December 10, 2025
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Paul Kibby, APRN
## Practice location
- **Address:** 1997 BATESVILLE BLVD, Southside, AR 72501-7896
- **Phone:** (214) 232-0674
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2026
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1366306771) · Data from the CMS NPPES public registry.