IndividualActive
William Mckibben, PHD
NPI 1104562412 · Mental Health Counselor · Deltona, FL
William Mckibben, PHD is a Mental Health Counselor provider in Deltona, FL (NPI 1104562412).
Provider details
- NPI number
- 1104562412
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
780 Deltona Blvd Ste 102
Deltona, FL 32725-7128
Phone: (386) 400-3100
Street-level locationGet directions
Mailing address
3183 Crab Trap Dr
New Smyrna Beach, FL 32168-2482
Registry dates
- Enumerated
- 2022-05-10
- Last updated
- 2022-05-10
- Certified
- 2022-05-10
Frequently asked questions
- What is William Mckibben's NPI number?
- William Mckibben's National Provider Identifier (NPI) is 1104562412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is William Mckibben's specialty?
- William Mckibben is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is William Mckibben located?
- William Mckibben's practice location on file with NPPES is 780 Deltona Blvd Ste 102, Deltona, FL 32725-7128.
- What is William Mckibben's phone number?
- The practice phone number listed in the NPPES registry for William Mckibben is (386) 400-3100.
- Is William Mckibben's NPI active?
- Yes — William Mckibben's NPI (1104562412) is active in the NPPES registry as of the last update on 2022-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.