Active NPI
Elizabeth Ann Huber, LMHC
- Mental Health Counselor
- Clinton, IA
National Provider Identifier
1760602197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 360
- Practice address
- 215 6TH Ave S
Suite #32
Clinton, IA 52732-4338 - Phone
- (563) 593-0630
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 360 | IA | Primary |
Addresses
Primary practice location
215 6TH Ave S
Suite #32
Clinton, IA 52732-4338
Mailing address
25863 Valley Dr
Bettendorf, IA 52722-7313
Phone (563) 332-3485
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 360 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306108800000",
"number": "1760602197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25863 VALLEY DR",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527227313",
"telephone_number": "563-332-3485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 6TH AVE S",
"address_2": "SUITE #32",
"city": "CLINTON",
"state": "IA",
"postal_code": "527324338",
"telephone_number": "563-593-0630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBER",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2011-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.