Douglas V Huezo, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-12588 Issued in AZ

Practice address

1415 N 1St St
Phoenix, AZ 85004-1604

Phone

(602) 685-6000

Fax

(602) 685-6001

NPI assigned

May 19, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crisis Preparation and Recovery, Inc

  • Community/Behavioral Health Agency
  • Tempe, AZ
  • NPI 1912270422
  Medicare reassignment NPD
• Crisis Preparation and Recovery, Inc.

  • Community/Behavioral Health Agency
  • Tempe, AZ
  • NPI 1588720650
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1013174093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122902",
            "telephone_number": "602-685-6000",
            "fax_number": "602-685-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N 1ST ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041604",
            "telephone_number": "602-685-6000",
            "fax_number": "602-685-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEZO",
        "first_name": "DOUGLAS",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-12588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genaro Romero Huerta, PSYD
• Edward L. Huesing, M.D.
• Yvonne Rojas Hueta, LPN
• Eric A Huettl, M.D.
• Kelly Huey, MSW
• Candace S. Huff, RN
• Dawn M Huff, WHNP
• Kevin M. Huff, O.D.
• Mary Huff
• Rosalind Marie Huff, PA-C

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.