David Paul Haertner, L.P.C.
Individual provider Active NPI Professional Counselor · Hondo, TX
NPI 1033201843 · NPPES record last updated May 7, 2015
Key facts
- NPI
- 1033201843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 14710 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hill Country Community MHMR Center
Practice addresses (Care Compare)
728 18TH St
Hondo, TX 78861-1919
Phone (830) 426-4362
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240215004340 | TX | Practitioner - Mental Health Counselor | 0749624906 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14710 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Country Community MHMR Center | Current |
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) 426-3233
819 Water St
Ste 300
Kerrville, TX 78028
Phone (830) 258-5430
328 Crystal City Hwy
Uvalde, TX 78801
Phone (830) 278-2501
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 14710 | TX | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0958951-01 | Medicaid | TX |
Other providers in Hondo, TX
- G. Betancourt DDS PLLC
- Liborio Garcia Jr.
- Heather Gonzales
- Thomas W. Grabow
- H-E-B, LP
- Laura Worth Hansen
- Michael Wayne Hanson
- Leslie Laro Hayes
- Robert Frank Hays Jr.
- Julianna Height
All providers in Hondo, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.