JERMAINE HIBBERT LAC
NPI 1417711367
Counselor - Professional in Clifton, NJ
About Jermaine Hibbert Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERMAINE HIBBERT LAC (NPI 1417711367) is an individual professional provider in Clifton, New Jersey and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jermaine Hibbert Lac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jermaine Hibbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clifton, NJ 07012
- Reassigned Medicare billing, New Jersey enrollment
- 5 clinicians in this Medicare group
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 14
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 Jermaine Hibbert's NPI number?
The NPI number for Jermaine Hibbert is 1417711367. It was assigned to this individual provider in the NPPES registry on February 12, 2024.
Where is Jermaine Hibbert located?
Jermaine Hibbert practices at 935 Allwood Rd Ste 300, Clifton, NJ 07012. The listed phone number is (862) 930-5700.
What is Jermaine Hibbert's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jermaine Hibbert enrolled in Medicare?
Yes. Jermaine Hibbert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jermaine Hibbert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jermaine Hibbert reassigns Medicare benefits to Time To Heal (Clifton, NJ). 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 Jermaine Hibbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jermaine Hibbert accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Jermaine Hibbert 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 Jermaine Hibbert was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jermaine Hibbert, LAC · NPI 1417711367
Professional provider in Clifton, New Jersey. Individual provider, active in the CMS NPPES registry since February 12, 2024.
## Identity
- **NPI:** 1417711367 (Entity type: Individual)
- **Enumerated:** February 12, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 935 ALLWOOD RD STE 300, Clifton, NJ 07012-1988
- **Phone:** (862) 930-5700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Time To Heal (NPI 1659923431, Clifton, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417711367) · Data from the CMS NPPES public registry.