Individual provider Active NPI

Dewana Rena Hubbard, MFT/LPCC

  • Mental Health Counselor
  • Murrieta, CA
National Provider Identifier
1023630498
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
AMFT117754 Issued in CA
Practice address
29970 Technology Dr Ste 109
Murrieta, CA 92563-2646
Phone
(951) 900-4414
NPI assigned
May 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APCC7710 CA
Mental Health Counselor 101YM0800X AMFT117754 CA Primary

Addresses

Primary practice location

29970 Technology Dr Ste 109
Murrieta, CA 92563-2646

Mailing address

19510 Van Buren Blvd # F3402
Riverside, CA 92508-9457
Phone (657) 229-0322

Other identifiers 2

IdentifierTypeStateIssuer
AMFT117754OtherCABOARD OF BEHAVIORAL SCIENCES
APCC7710OtherCABOARD OF BEHAVIORAL SCIENCES

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DEWANA.H@ENCOURAGERSUSA.ORG Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AMFT117754CAMDMental Health Counselor
APCC7710CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1023630498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19510 VAN BUREN BLVD # F3402",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089457",
            "telephone_number": "657-229-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29970 TECHNOLOGY DR STE 109",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632646",
            "telephone_number": "951-900-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "DEWANA",
        "middle_name": "RENA",
        "credential": "MFT/LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC7710",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT117754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "AMFT117754",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "APCC7710",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DEWANA.H@ENCOURAGERSUSA.ORG",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "29970 Technology Dr Ste 109",
            "city": "Murrieta",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925632646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.