Active NPI
Donald Ray Hubbard, LPC
- Professional Counselor
- Fort Smith, AR
National Provider Identifier
1811268030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P9912035
- Practice address
- 2000 Wolfe LN
Fort Smith, AR 72901-6264 - Phone
- (479) 494-7085
- NPI assigned
- Jan 19, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P9912035 | AR | Primary |
Addresses
Primary practice location
2000 Wolfe LN
Fort Smith, AR 72901-6264
Mailing address
2000 Wolfe LN
Fort Smith, AR 72901-6264
Phone (479) 494-7085
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 |
|---|---|---|---|
| P9912035 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1811268030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 WOLFE LN",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729016264",
"telephone_number": "479-494-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 WOLFE LN",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729016264",
"telephone_number": "479-494-7085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "DONALD",
"middle_name": "RAY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P9912035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.