Individual provider Active NPI

Jessica Rose Hubbell, LAC

  • Mental Health Counselor
  • Scottsdale, AZ
National Provider Identifier
1588371561
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1776 N Scottsdale Rd # 10462
Scottsdale, AZ 85257-2115
Phone
(480) 994-9773
NPI assigned
Oct 31, 2022
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1776 N Scottsdale Rd # 10462
Scottsdale, AZ 85257-2115

Mailing address

1776 N Scottsdale Rd # 10462
Scottsdale, AZ 85257-2115
Phone (480) 994-9773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260122002508 AZ Practitioner - Mental Health Counselor 6507343332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1230 S Cherrybell Stra
Tucson, AZ 85713-1907
Phone (520) 670-3909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jan 1, 2026 Accepting new patients
Counseling Consultants PLLC CurrentSince Dec 28, 2022 Accepting new patients

Locations

10165 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 451-5558

1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 310-7316

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1588371561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 N SCOTTSDALE RD # 10462",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852572115",
            "telephone_number": "480-994-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 N SCOTTSDALE RD # 10462",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852572115",
            "telephone_number": "480-994-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBELL",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.