Theresa R Hubbard LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2010004313 Issued in MO

Legal business name

THERESA R HUBBARD LLC

Practice address

10 Westowne St
Liberty, MO 64068-1166

Phone

(816) 591-3006

Fax

(816) 407-7706

NPI assigned

Mar 2, 2010

Organization subpart

No

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

Authorized official

Name

Theresa Hubbard, LCMFTNPI 1316152903

Title

Member

Phone

(816) 591-3006

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Rachel Hubbard, LCMFT

  • Marriage & Family Therapist
  • Liberty, MO
  • NPI 1316152903
  Medicare reassignment Care Compare group NPD Authorized official
• Brianna Jean Lopez

  • Marriage & Family Therapist
  • Liberty, MO
  • NPI 1407507098
  Medicare reassignment Care Compare group NPD
• Erin Elizabeth Vallier, LPC

  • Mental Health Counselor
  • Liberty, MO
  • NPI 1588410401

  MO

  Medicare reassignment Care Compare group NPD
• Mary Vanderman, LCSW

  • Mental Health Counselor
  • Overland Park, KS
  • NPI 1689675373
  NPD
• Alisa K Dodds, MA, LPC

  • Counselor
  • Liberty, MO
  • NPI 1154478931
  NPD (past)
• Joe Dale Grinstead, PH.D.

  • Clinical Psychologist
  • Liberty, MO
  • NPI 1073666178
  NPD (past)
• Michael Richard Harrison, PH.D.

  • Clinical Psychologist
  • Liberty, MO
  • NPI 1063563559
  NPD (past)

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1497078646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WESTOWNE ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681166",
            "telephone_number": "816-591-3006",
            "fax_number": "816-407-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WESTOWNE ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681166",
            "telephone_number": "816-591-3006",
            "fax_number": "816-407-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA R HUBBARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "816-591-3006",
        "authorized_official_credential": "LCMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2010004313",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Liberty Clinic, Inc.
• The Urgency Room, LLC
• Clayton Lewis Theleman, M.D.
• Andria Mia Theoharidis, D.C.
• Dimitrios M Theoharidis, DC
• Mary Juanita Thibodeaux, LCSW
• Tamra Thole, RD, LD
• Thomas C. Thomas
• Leslie D Thomas, M.D.
• Libby Thomas

• All providers in Liberty, MO
• Marriage & Family Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.