| Charles Tyler Kibbe, LPC | |
|
9209 Nw 85th St, Yukon, OK 73099-9591 | |
| (972) 698-8478 | |
| Not Available |
| Full Name | Charles Tyler Kibbe |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 3 Years |
| Location | 9209 Nw 85th St, Yukon, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336820711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 89025 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brave Health Medical Group, Pa | 9537586052 | 51 |
| Brave Health Medical Group, Pa | 9537586052 | 51 |
| Entity Name | Brave Health Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225669161 PECOS PAC ID: 9537586052 Enrollment ID: O20201113000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Tyler Kibbe, LPC 9209 Nw 85th St, Yukon, OK 73099-9591 Ph: (501) 259-3316 | Charles Tyler Kibbe, LPC 9209 Nw 85th St, Yukon, OK 73099-9591 Ph: (972) 698-8478 |
Olanrewaju Akande, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9005 Nw 84th St, Yukon, OK 73099 Phone: 405-831-7920 | |
Afaf Asal, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 N Mustang Rd, Yukon, OK 73099 Phone: 405-401-8343 | |
Hope Elise Hudson, M.S., LPC CANDIDATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 S Mustang Rd Ste B, Yukon, OK 73099 Phone: 405-254-7746 | |
Brooke Kuns, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 S Ranchwood Blvd Ste 11, Yukon, OK 73099 Phone: 405-818-4421 Fax: 405-256-6603 | |
Stephanie Maria Paidoussis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 S Mustang Rd Ste B, Yukon, OK 73099 Phone: 405-254-7746 | |
April Dawn Scott, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1044 Linn Ln, Yukon, OK 73099 Phone: 405-422-7711 | |
Tracy Nanette Mckeown, LPC-C Counselor Medicare: Accepting Medicare Assignments Practice Location: 1777 S Yukon Pkwy, Yukon, OK 73099 Phone: 405-556-0656 |