Organization Active NPI

Hoback Counseling LLC

  • Clinical Social Worker
  • La Porte, IN
National Provider Identifier
1720386949
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HOBACK COUNSELING LLC
Practice address
245 W Johnson Rd
La Porte, IN 46350-2026
Phone
(219) 369-4870
NPI assigned
Mar 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Nancy HobackNPI 1457483596
Title
Owner
Phone
(219) 369-4870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

245 W Johnson Rd
La Porte, IN 46350-2026

Mailing address

245 W Johnson Rd
La Porte, IN 46350-2026
Phone (219) 369-4870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110414000522 IN Part B Supplier - Clinic/Group Practice 1759565856 Receives reassigned benefits from 1 practitioner
Practice locations: La Porte, IN

National Provider Directory

National Provider Directory

Locations

245 W Johnson Rd
#2
La Porte, IN 46350
Phone (219) 369-4870

245 W Johnson Rd
Laporte, IN 46350
Phone (219) 258-4163

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1720386949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W JOHNSON RD",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463502026",
            "telephone_number": "219-369-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W JOHNSON RD",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463502026",
            "telephone_number": "219-369-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBACK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "HOBACK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-369-4870"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.