Active NPI
Mark Huber, MS
- Mental Health Counselor
- Janesville, WI
National Provider Identifier
1245364983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2519-123
- Practice address
- 1051 Nantucket Dr
Janesville, WI 53546-1763 - Phone
- (608) 752-5335
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2519-123 | WI | Primary |
Addresses
Primary practice location
1051 Nantucket Dr
Janesville, WI 53546-1763
Mailing address
3506 N US Highway 51
Janesville, WI 53545-0726
Phone (608) 757-5215
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2519-123 | Other | WI | CLINICAL SOCIAL WORKER |
| 1137-125 | Other | WI | LPC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2519-123 | WI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245364983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3506 N US HIGHWAY 51",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535450726",
"telephone_number": "608-757-5215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 NANTUCKET DR",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535461763",
"telephone_number": "608-752-5335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBER",
"first_name": "MARK",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "2519-123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL SOCIAL WORKER",
"identifier": "2519-123",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "1137-125",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.