Andrea Jenae Haubert

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC20548 Issued in SD

Practice address

310 S 1St Ave
Sioux Falls, SD 57104-6329

Phone

(605) 336-2556

NPI assigned

May 17, 2021

Last updated

May 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carroll Institute

  dba Carroll Counseling Services

  • Mental Health Counselor
  • Sioux Falls, SD
  • NPI 1255868220
  NPD
• Center for Family Medicine

  • Community Health Worker
  • Sioux Falls, SD
  • NPI 1235898073
  NPD
• Carroll Institute

  • Substance Abuse Rehabilitation Facility
  • Sioux Falls, SD
  • NPI 1952446411
  NPD (past)

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1932773637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 W 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052305",
            "telephone_number": "605-251-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S 1ST AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571046329",
            "telephone_number": "605-336-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUBERT",
        "first_name": "ANDREA",
        "middle_name": "JENAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC20548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Korena Lynn Hatch, RPH
• Trudi Hatch, LCSW-PIP
• Allison Kay Hatcher, DNP, CNP
• Lucas Allen Hattervig, DPT
• Crystal Hattum, PHARMD
• Jennifer Haubert, NP
• Alicen Hauck
• Kristi Kae Hauck
• Stacey Lynn Hauck, LPC-MH, QMHP
• Tamara Haug-Davis

• Professional Counselor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Professional Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.