Sean Huckleberry, LPC, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1008202 Issued in TX

Practice address

14800 San Pedro Ave Ste 110
San Antonio, TX 78232-3734

Phone

(210) 490-9850

Fax

(210) 893-2342

NPI assigned

May 20, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1487001392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 SAN PEDRO AVE STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323734",
            "telephone_number": "210-490-9850",
            "fax_number": "210-893-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 SAN PEDRO AVE STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323734",
            "telephone_number": "210-490-9850",
            "fax_number": "210-893-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCKLEBERRY",
        "first_name": "SEAN",
        "credential": "LPC, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1008202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://patientonlineportal.com/",
            "affiliation": "N",
            "endpointDescription": "ICANotes Patient Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "API",
            "address_1": "17281 Interstate 35 S",
            "city": "Atascosa",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780025525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aidan Huber
• Howard E Huber, PA-C
• Michaell Andrew Huber, DDS
• Bethania Anai Huchin
• Diana Vargas Huckaby, FNP
• Renae Hudak
• Steven Jeffrey Hudak, M.D.
• Lauren Nicole Hudgens, LPC
• Stephen R. Hudgins II, DC
• Clayton H Hudnall, MD

• Psychiatric/Mental Health Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.