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MR. MATTHEW TIBBS MA, LPC-MHSP, NCC
NPI 1508553843
Counselor - Professional in Johnson City, TN

Active since April 18, 2023PECOS EnrolledAccepts Medicare Assignment
2112 N ROAN ST STE 300, JOHNSON CITY, TN 37601(865) 588-3173(865) 244-3579 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2026, Jul 10, 2024, Jan 5, 2024 (3 updates tracked since 2024).

About Mr. Matthew Tibbs Ma, Lpc-mhsp, Ncc NPPES

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

MR. MATTHEW TIBBS MA, LPC-MHSP, NCC (NPI 1508553843) is an individual professional provider in Johnson City, Tennessee, licensed in Tennessee (6806) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Johnson City, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508553843
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MATTHEW TIBBSCredential: MA, LPC-MHSP, NCC
Location Address2112 N ROAN ST STE 300Johnson City, TN 37601-2519
Mailing Address2112 N Roan St Ste 300Johnson City, TN 37601-2519 · (865) 588-3173 · Fax (865) 244-3579
Phone(865) 588-3173
Fax(865) 244-3579
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 18, 2023
Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1508553843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TN · 6806
2112 N ROAN ST STE 300, Johnson City, TN 37601
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Secondary Practice Location 1

Location 1Lamont St. & Veteran's WayJohnson City, TN 37604 · Phone (423) 926-1171 ext. 7096

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Matthew Tibbs Ma, Lpc-mhsp, Ncc 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.

PECOS PAC ID8527591494
PECOS Enrollment IDI20241030003090
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.

Other Providers at the Same Location NPPES 13

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

LAURA MAXWELL LPC
Counselor (Professional)
2112 N ROAN ST STE 300
JOHNSON CITY, TN 37601
Washington County (865) 588-3173
SARAH MCCRAY LCSW
Social Worker (Clinical)
2112 N ROAN ST STE 300
JOHNSON CITY, TN 37601
Washington County (865) 588-3173
SARA RUTH ANDERSON LPC-MHSP
Counselor (Professional)
2112 N ROAN ST STE 300
JOHNSON CITY, TN 37601
Washington County (865) 588-3173
JENNIFER MAXSON LCSW
Social Worker (Clinical)
2112 N ROAN ST STE 300
JOHNSON CITY, TN 37601
Washington County (865) 588-3173
ALYSSA NICOLE SCOTT PSYD
Psychologist (Clinical)
2112 N ROAN ST STE 300
JOHNSON CITY, TN 37601
Washington County (865) 588-3173
SUSAN GILMAN LCSW
Social Worker (Clinical)
2112 N ROAN ST STE 300
JOHNSON CITY, TN 37601
Washington County (865) 588-3173
KASEY VANCE APRN
Nurse Practitioner (Psychiatric/Mental Health)
2112 N ROAN ST STE 300
JOHNSON CITY, TN 37601
Washington County (423) 202-7426
CARLY WOLFINGER HEDRICK LCSW
Social Worker (Clinical)
2112 N ROAN ST STE 300
JOHNSON CITY, TN 37601
Washington County (865) 588-3173

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 Matthew Tibbs's NPI number?

The NPI number for Matthew Tibbs is 1508553843. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Matthew Tibbs located?

Matthew Tibbs practices at 2112 N Roan St Ste 300, Johnson City, TN 37601. The listed phone number is (865) 588-3173.

What is Matthew Tibbs's specialty?

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

Is Matthew Tibbs enrolled in Medicare?

Yes. Matthew Tibbs 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.

What insurance does Matthew Tibbs accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Matthew Tibbs 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 Matthew Tibbs was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.