Gary A Hupp, PH.D.,LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCS10424 Issued in CA

Practice address

775 Sunrise Ave
Suite Number 140
Roseville, CA 95661-4523

Phone

(916) 784-1244

Fax

(916) 784-3949

NPI assigned

Jan 18, 2007

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Clinical Social Worker

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Charter Professional Group Inc

  • Clinic/Center
  • Roseville, CA
  • NPI 1235666108
  NPD (past)
• Gary Hupp PHD LCSW and Associates Inc

  • Clinical Social Worker
  • Roseville, CA
  • NPI 1942831615
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700938768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 SUNRISE AVE",
            "address_2": "SUITE NUMBER 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614523",
            "telephone_number": "916-784-1244",
            "fax_number": "916-784-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SUNRISE AVE",
            "address_2": "SUITE NUMBER 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614523",
            "telephone_number": "916-784-1244",
            "fax_number": "916-784-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUPP",
        "first_name": "GARY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.,LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS10424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Hunter-Marston, R.N.,M.S.N.,C.N.S.
• Lori Hunter
• Huntington Care, LLC
• Aaron Matthew Huntington, DO
• Yahzi Huntsberry
• Chelsea Rochelle Hurley
• Jillian Hurley
• Joyce Ann Hurt, RN
• Gregory A. Hussa, MD
• Sayed A Hussain, MD

• Mental Health Counselor in Roseville, CA
• Providers in Roseville, CA by specialty
• Mental Health Counselor in California

• 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.
• 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.