Individual provider Active NPI

Richard B Habeck, LCPC

  • Counselor
  • Las Vegas, NV
National Provider Identifier
1164081840
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CP5549 Issued in NV
Practice address
7371 W Charleston Blvd Ste 130
Las Vegas, NV 89117-1575
Phone
(702) 550-8665
Fax
(888) 780-3217
NPI assigned
Jun 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Counselor 101Y00000X CP5549 NV Primary

Addresses

Primary practice location

7371 W Charleston Blvd Ste 130
Las Vegas, NV 89117-1575

Mailing address

7371 W Charleston Blvd Ste 130
Las Vegas, NV 89117-1575
Phone (702) 550-8665

Other practice location 1

714 E Sahara Ave Ste 103714E
Las Vegas, NV 89104-2942
Phone (702) 369-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240112001939 NV Practitioner - Mental Health Counselor 8123479250 Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7371 W Charleston Blvd
Suite 130
Las Vegas, NV 89117-1575
Phone (702) 550-8665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1164081840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7371 W CHARLESTON BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171575",
            "telephone_number": "702-550-8665",
            "fax_number": "888-780-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7371 W CHARLESTON BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171575",
            "telephone_number": "702-550-8665",
            "fax_number": "888-780-3217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 E Sahara Ave Ste 103714E",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891042942",
            "country_code": "US",
            "telephone_number": "702-369-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABECK",
        "first_name": "RICHARD",
        "middle_name": "B",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": "CP5549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.