Individual provider Active NPI

Debra Hobaica, MSW

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1922314699
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1840 N 95TH Ave Ste 160
Phoenix, AZ 85037-4313
Phone
(602) 279-7655
NPI assigned
Aug 19, 2010
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1840 N 95TH Ave Ste 160
Phoenix, AZ 85037-4313

Mailing address

4747 N 7TH St
Ste. 100
Phoenix, AZ 85014-3653
Phone (602) 279-7655

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20170418002489 AZ Practitioner - Clinical Social Worker 0749566263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2033 N 7TH St
Phoenix, AZ 85006-2102
Phone (602) 257-9314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children's Service Current Accepting new patients
Jewish Family & Children's Service CurrentSince Mar 16, 2017 Accepting new patients
Jewish Family & Children's Service CurrentSince Mar 16, 2017 Accepting new patients
Jewish Family & Children's Service Past Accepting new patients

Locations

1840 N 95th Ave
Ste 146
Phoenix, AZ 85037
Phone (623) 234-9811

1840 N 95th Ave
Ste 160
Phoenix, AZ 85037
Phone (623) 234-9811

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1922314699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 N 7TH ST",
            "address_2": "STE. 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143653",
            "telephone_number": "602-279-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N 95TH AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374313",
            "telephone_number": "602-279-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBAICA",
        "first_name": "DEBRA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.