Individual provider Active NPI

David Paul Haertner, L.P.C.

  • Professional Counselor
  • Hondo, TX
National Provider Identifier
1033201843
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14710 Issued in TX
Practice address
1613 Avenue K
Suite 109
Hondo, TX 78861-1800
Phone
(830) 426-1193
Fax
(830) 426-4995
NPI assigned
Sep 29, 2006
Last updated
May 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 14710 TX Primary

Addresses

Primary practice location

1613 Avenue K
Suite 109
Hondo, TX 78861-1800

Mailing address

PO Box 943
Hondo, TX 78861-0943
Phone (830) 426-1193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240215004340 TX Practitioner - Mental Health Counselor 0749624906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hill Country Community MHMR CenterGroup PAC ID 3072599752, 28 clinicians

Practice addresses (Care Compare)

728 18TH St
Hondo, TX 78861-1919
Phone (830) 426-4362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14710TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Community MHMR Center Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

1927 N Bedell Ave
Del Rio, TX 78840
Phone (830) 774-8702

712 18th St
Hondo, TX 78861
Phone (830) 955-3479

728 18th St
Hondo, TX 78861
Phone (830) 426-4362

110 S 10th St
Junction, TX 76849
Phone (325) 446-3233

819 Water St
Ste 300
Kerrville, TX 78028
Phone (830) 258-5430

328 Crystal City Hwy
Uvalde, TX 78801
Phone (800) 662-6052

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1033201843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 943",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "788610943",
            "telephone_number": "830-426-1193",
            "fax_number": "830-426-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 AVENUE K",
            "address_2": "SUITE 109",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "788611800",
            "telephone_number": "830-426-1193",
            "fax_number": "830-426-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAERTNER",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hondo, TX

Sources for this page

Verify at the official NPI Registry.