Individual provider Active NPI

Misty Ariella Hubbard, LPC

  • Professional Counselor
  • Wheat Ridge, CO
National Provider Identifier
1942080411
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0019759 Issued in CO
Practice address
4251 Kipling St Unit 430
Wheat Ridge, CO 80033-2970
Phone
(720) 381-4977
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0019759 CO Primary

Addresses

Primary practice location

4251 Kipling St Unit 430
Wheat Ridge, CO 80033-2970

Mailing address

8441 Everett Way Unit E
Arvada, CO 80005-2398
Phone (720) 381-4977

Other practice location 1

8441 Everett Way Unit E
Arvada, CO 80005-2398
Phone (720) 381-4977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240214003264 CO Practitioner - Mental Health Counselor 8628412921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4251 Kipling St
Unit 430
Wheat Ridge, CO 80033-2970
Phone (720) 381-4977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0019759COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wild Essence Nature Guiding & Therapy, LLC Professional CurrentSince Jan 16, 2024 Accepting new patients

Locations

4251 Kipling St
Unit 430
Wheat Ridge, CO 80033
Phone (267) 419-7817

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1942080411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 EVERETT WAY UNIT E",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800052398",
            "telephone_number": "720-381-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 KIPLING ST UNIT 430",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332970",
            "telephone_number": "720-381-4977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8441 Everett Way Unit E",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800052398",
            "country_code": "US",
            "telephone_number": "720-381-4977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "MISTY",
        "middle_name": "ARIELLA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0019759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.