MS. CAROL R MCKIBBEN MSW
NPI 1932250560
Counselor in Roseburg, OR

Active since January 12, 2007
621 W. MADRONE ST, ROSEBURG, OR 97470(541) 440-3532(541) 440-3554 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Carol R Mckibben Msw NPPES

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

MS. CAROL R MCKIBBEN MSW (NPI 1932250560) is an individual counselor in Roseburg, Oregon, licensed in Oregon (CSWA A3182) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1932250560
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. CAROL R MCKIBBENCredential: MSW
Location Address621 W. MADRONE STRoseburg, OR 97470-3090
Mailing Address621 W. Madrone StRoseburg, OR 97470-3090 · (541) 440-3532 · Fax (541) 440-3554
Fax(541) 440-3554
Sole ProprietorNo
Enumeration DateJanuary 12, 2007
Last NPPES UpdateMarch 28, 2014
NPI 1932250560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in OR · CSWA A3182
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
621 W. MADRONE ST, Roseburg, OR 97470

Other Names 1

Former Name (1)Mrs. Carol R Stice

Other Identifiers 1

Medicaid500660589OR

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
621 W. MADRONE ST
ROSEBURG, OR 97470

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 Carol Mckibben's NPI number?

The NPI number for Carol Mckibben is 1932250560. It was assigned to this individual provider in the NPPES registry on January 12, 2007. The provider is also known as Mrs. Carol R Stice.

Where is Carol Mckibben located?

Carol Mckibben practices at 621 W. Madrone St, Roseburg, OR 97470. The listed phone number is (541) 440-3532.

What is Carol Mckibben's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Carol Mckibben was last updated on March 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.