Active NPI
Michael D Huddleston, LPC
- Professional Counselor
- Corpus Christi, TX
National Provider Identifier
1114287026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 67076
- Practice address
- 5959 S Staples St
Suite 210
Corpus Christi, TX 78413-3846 - Phone
- (361) 991-3001
- Fax
- (361) 991-3002
- NPI assigned
- May 24, 2012
- Last updated
- May 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 67076 | TX | Primary |
Addresses
Primary practice location
5959 S Staples St
Suite 210
Corpus Christi, TX 78413-3846
Mailing address
5959 S Staples St
Suite 210
Corpus Christi, TX 78413-3846
Phone (361) 991-3001
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67076 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
Locations
2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958
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": "1337817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1114287026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S STAPLES ST",
"address_2": "SUITE 210",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784133846",
"telephone_number": "361-991-3001",
"fax_number": "361-991-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 S STAPLES ST",
"address_2": "SUITE 210",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784133846",
"telephone_number": "361-991-3001",
"fax_number": "361-991-3002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDDLESTON",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-24",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "67076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
- Ning Huang, MD
- Hub City Home Health Inc (American Medical Home Health Services)
- Hub City Home Health, Inc. (American Medical Home Health Services)
- Barbara Hubbell, LPC
- Mark Nicholas Huber, M.D.
- Julie Kathleen Hudson, DIETITIAN
- Kristi Huemoller, CD
- Aitana Celeste Huerta, COTA
- Irene Raquel Huerta, WHNP-BC
- Riley Diane Huerta, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.