Carol K. Haburay, LPCC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E0000833 Issued in OH

Practice address

210 E Milltown Rd
Suite B
Wooster, OH 44691-1246

Phone

(330) 345-3418

Fax

(330) 345-3420

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carol Kubancik Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catholic Charities CorporationGroup PAC ID 6608866546, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Catholic Charities Corporation

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Euclid, OH
  • NPI 1972550010
  Medicare reassignment Care Compare group NPD
• Sourceone Group Inc

  • Adult Mental Health Clinic/Center
  • Wooster, OH
  • NPI 1447346564
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1497847115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E MILLTOWN RD",
            "address_2": "SUITE B",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911246",
            "telephone_number": "330-345-0955",
            "fax_number": "330-345-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E MILLTOWN RD",
            "address_2": "SUITE B",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911246",
            "telephone_number": "330-345-3418",
            "fax_number": "330-345-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABURAY",
        "first_name": "CAROL",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0000833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "KUBANCIK",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniela Ayleen Gutierrez Carrera
• Richard Guttman, MD
• Melinda Haag, OTR
• Christy L Haagen, CRNP
• Lisa Jan Haberbusch, LISW
• Jacqueline Hacker, RD
• Danny Lee Hageman
• Allison Hahn
• Tina L. Hairston, QMHS
• Hazel Hall, RN

• Mental Health Counselor in Wooster, OH
• Providers in Wooster, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.