Kayla Hutchinson, LCDC-INTERN

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

57308 Issued in TX

Practice address

519 E Quincy St
San Antonio, TX 78215-1632

Phone

(210) 299-1614

Fax

(210) 299-4595

NPI assigned

Dec 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Vcphcs VII, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Windcrest, TX
  • NPI 1992966584
  NPD

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1225798705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E QUINCY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151632",
            "telephone_number": "210-299-1614",
            "fax_number": "210-299-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E QUINCY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151632",
            "telephone_number": "210-299-1614",
            "fax_number": "210-299-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "KAYLA",
        "credential": "LCDC-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "57308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTP",
            "identifier": "1000043",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khutchinson@medmark.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "519 E Quincy St",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782151632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carlie Barber Hutchins, M.S. CCC-SLP
• Jaclyn Lacy Hutchins, OD
• Lynette Edens Hutchins, LCSW
• Chantal Hutchinson Vargas
• Alexander Hutchinson, MD
• Kendall Hutchinson
• Rebecca Bridges Hutchinson, M.ED.
• Samantha Michelle Hutchinson
• Tamara Hutchinson
• Nathan Huth

• Addiction (Substance Use Disorder) Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.