BRENDA LEE MCKIBBIN (LPC) – Professional Counselor, NPI 1023618923

BRENDA LEE MCKIBBIN (LPC) is a healthcare provider. based in Ford city, Pennsylvania. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. PC012639 (PA). The NPI Number for BRENDA LEE MCKIBBIN (LPC) is 1023618923

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
BRENDA LEE MCKIBBIN (LPC)
NPI
1023618923
Phone
(724) 763-7600
Address
837 5TH AVE
Enumeration Date
29 October 2020
Last Update Date
29 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7245432941
Graduation Year
2011 (15 years ago)
PAC ID
0446600563
Group Practice PAC ID
6002706736
Professional Enrollment ID
I20240102000711
Address ID
PA162012416KI300XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,541 MENTAL HEALTH COUNSELOR in PA

Provider Addresses for BRENDA LEE MCKIBBIN (LPC)

  • 837 5TH AVE

    FORD CITY, PA 162261108

    Phone: (724) 763-7600

    Fax: (724) 763-7693

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240102000711IMental Health CounselorPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 16226)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002706736View full group profile
NameSpecialtyState
Nurse PractitionerPA
Mental Health CounselorPA
-PA
Psychiatry, Geriatric PsychiatryPA
Mental Health CounselorPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
-PA
P S Y C H I A T R YPA

Reviews

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Frequently asked questions

What is the standard ID for BRENDA LEE MCKIBBIN (LPC) in the U.S.?
In the U.S., BRENDA LEE MCKIBBIN (LPC) is identified by NPI 1023618923.
Quick check: is BRENDA LEE MCKIBBIN (LPC) active?
Public NPPES data shows BRENDA LEE MCKIBBIN (LPC) with an active NPI status right now.
How should patients interpret BRENDA LEE MCKIBBIN (LPC)'s specialty?
The extract shows Professional Counselor for BRENDA LEE MCKIBBIN (LPC). Clinical services aligned with this taxonomy classification.
Which community is linked to BRENDA LEE MCKIBBIN (LPC)?
BRENDA LEE MCKIBBIN (LPC) shows a connection to Ford City, Pennsylvania in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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