Active NPI
Daphne L Hubbard, EDM,LMHC
- Mental Health Counselor
- Boston, MA
National Provider Identifier
1487700175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3172
- Practice address
- 9 Concord SQ
#2
Boston, MA 02118-3185 - Phone
- (617) 266-3464
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 3172 | MA | Primary |
Addresses
Primary practice location
9 Concord SQ
#2
Boston, MA 02118-3185
Mailing address
9 Concord SQ
#2
Boston, MA 02118-3185
Phone (617) 266-3464
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XXXXX6310 | Other | UT | UNITED HEALTH |
| 409315 | Other | MA | TUFTS HEALTH PLAN |
| LM0095 | Other | BLUE CROSS&BLUESHIELDOFMA | |
| 3172 | Other | MA | LMHC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3172 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487700175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CONCORD SQ",
"address_2": "#2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183185",
"telephone_number": "617-266-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 CONCORD SQ",
"address_2": "#2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183185",
"telephone_number": "617-266-3464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "DAPHNE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "EDM,LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "3172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "XXXXX6310",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "409315",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS&BLUESHIELDOFMA",
"identifier": "LM0095",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMHC",
"identifier": "3172",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
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.