MICHAEL RAY TIBBS NPI 1053003327

NPI Information

  • NPI: 1053003327
  • Provider Name: MICHAEL RAY TIBBS
  • Classification: Counselor - 101YP1600X
  • Specialization: Pastoral
  • Entity Type: Individual
  • Address: 5635 KANSAS AVE # 225
    OMAHA, NE
    ZIP 68104
  • Phone: (140) 296-0978

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NPI Details

Michael Ray Tibbs is a pastoral counselor in Omaha, NE. Michael Ray Tibbs NPI is 1053003327. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5635 KANSAS AVE # 225
OMAHA, NE
ZIP 68104-226
Phone: (140) 296-0978
Fax: (402) 227-6491

The enumeration date for this NPI number is 5/24/2023 and was last updated on 5/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP1600XCounselorPastoralNEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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