Active NPI
Mary Beth Huberman, M.A.
- Professional Counselor
- Santa Fe, NM
National Provider Identifier
1720012081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4182
- Practice address
- 820 Paseo de Peralta
Santa Fe, NM 87501-2233 - Phone
- (505) 986-9633
- Fax
- (505) 820-1209
- NPI assigned
- Jul 10, 2006
- Last updated
- Feb 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 005712 | NM | |
| Professional Counselor | 101YP2500X | 4182 | NM | Primary |
Addresses
Primary practice location
820 Paseo de Peralta
Santa Fe, NM 87501-2233
Mailing address
821 1/2 Ninita Street
Santa Fe, NM 87504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000B6003 | Medicaid | NM |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005712 | NM | MD | Addiction (Substance Use Disorder) Counselor |
| 4182 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Medical Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Santa Fe Community Guidance Center Pharmacy
- Clinic Pharmacy
- Santa Fe, NM
- NPI 1942370523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392595200000",
"number": "1720012081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 1/2 NINITA STREET",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 PASEO DE PERALTA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875012233",
"telephone_number": "505-986-9633",
"fax_number": "505-820-1209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBERMAN",
"first_name": "MARY",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2014-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "005712",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "4182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000B6003",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.