Individual provider Active NPI

Kerri Hubacker

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1447888060
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
77012
Practice address
5713 Orlando LN
El Paso, TX 79924-7420
Phone
(915) 276-5723
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 77012 Primary

Addresses

Primary practice location

5713 Orlando LN
El Paso, TX 79924-7420

Mailing address

5713 Orlando LN
El Paso, TX 79924-7420

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228000484 TX Practitioner - Mental Health Counselor 3072963404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Community MHMRGroup PAC ID 3476532383, 54 clinicians

Practice addresses (Care Compare)

2400 Trawood Dr
Suite 301
El Paso, TX 79936-4122
Phone (915) 887-3410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Community MHMR CurrentSince Jan 1, 2024 Accepting new patients
El Paso Community MHMR CurrentSince Jan 1, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Jun 12, 2024 Accepting new patients
El Paso Community MHMR Current Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

725 S Mesa Hills Dr
Bldg 1
El Paso, TX 79912
Phone (915) 228-8128

1551 Montana Ave
El Paso, TX 79902
Phone (915) 747-3510

201 E Main Dr
Ste 600
El Paso, TX 79901
Phone (915) 887-3419

1601 E Yandell Dr
El Paso, TX 79902
Phone (915) 599-4900

10737 Gateway Blvd W
Ste 350
El Paso, TX 79935

1477 Lomaland Dr
Ste E7
El Paso, TX 79935
Phone (915) 599-6690

10737 Gateway Blvd W
Ste 250
El Paso, TX 79935
Phone (915) 319-9488

2400 Trawood Dr
Ste 301
El Paso, TX 79936
Phone (915) 599-6735

1600 Montana Ave
El Paso, TX 79902
Phone (915) 877-3410

8730 Boeing Dr
El Paso, TX 79925
Phone (915) 599-6600

8500 Boeing Dr
El Paso, TX 79925
Phone (915) 242-0555

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1447888060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 ORLANDO LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799247420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5713 ORLANDO LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799247420",
            "telephone_number": "915-276-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBACKER",
        "first_name": "KERRI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "77012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.