Mary Kay Huber, BS, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

34591 Issued in IL

Practice address

731 Sabrina Dr
East Peoria, IL 61611-3581

Phone

(309) 699-9700

NPI assigned

Jan 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mary K Lulay Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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.

• Peoria Treatment Center, LLC

  • Adult Mental Health Clinic/Center
  • East Peoria, IL
  • NPI 1073944567
  NPD

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1437801271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 SABRINA DR UNIT C",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616113582",
            "telephone_number": "309-699-9700",
            "fax_number": "309-699-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 SABRINA DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616113581",
            "telephone_number": "309-699-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "MARY",
        "middle_name": "KAY",
        "credential": "BS, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "34591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LULAY",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Hill, RDN, LDN
• Brittany Hoffmire
• Melissa Sue Howdyshell, RDH, PHDH
• Chason James Hoyle, PHARMD
• Jessica Hrdlicka
• Joshua A Hudson, DMD
• Jodi Huebner
• Elizabeth Hulva, IBCLC
• Human Service Center
• Human Service Center

• Addiction (Substance Use Disorder) Counselor in East Peoria, IL
• Providers in East Peoria, IL by specialty
• Addiction (Substance Use Disorder) Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.