MR. JERRY LYNN HUCKABEE (NPI# 1063464907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063464907 |
| Entity Type | Individual |
| Full Name | MR. JERRY LYNN HUCKABEE |
| Credential | M. ED. LPC |
| Practice Address |
126 Byron St Stephenville TX 76401-4602 |
| Practice Telephone | 2549655327 |
| Practice Fax Number | 2549655327 |
| Mailing Telephone | 2549655327 |
| Mailing Fax Number | 2549655327 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2009-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
17322 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 011459448 | 05 |
| Street Address |
126 BYRON ST |
| City | STEPHENVILLE |
| State | TX |
| Zip Code | 76401-4602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421930 | Catherine Johns | Speech-Language Pathologist | 418 County Road 428, # 418, Stephenville, TX 76401 | 2019-11-12 |
| 1457828683 | Allison Ann Luedeker | Nurse Practitioner | 950 Bluebonnet Street, Stephenville, TX 76401 | 2018-10-25 |
| 1326528092 | Stephanie Renee Drake | Speech-Language Pathologist | 1739 Bull Elk Dr, Stephenville, TX 76401 | 2018-08-21 |
| 1528564804 | Dylan D Dawson | Specialist/Technologist | 1590 Washington St, Stephenville, TX 76401 | 2018-04-04 |
| 1730680117 | Alison Lea Reynolds | Licensed Vocational Nurse | 208 Prairie Wind, Stephenville, TX 76401 | 2018-02-22 |
| 1760855977 | Gina Neri | Physical Therapy Assistant | 1670 West Lingley Rd, Stephenville, TX 76401 | 2015-11-10 |
| 1104216886 | Edmund Case Horton | Rehabilitation Counselor | 2443-8 Nw Loop, Stephenville, TX 76401 | 2015-02-02 |
| 1043648215 | Cross Timbers Imaging | Radiology | 561 N. Graham St, Stephenville, TX 76401 | 2013-10-24 |
| 1306273362 | Kelley Camille Verpooten | Counselor | 239 S. Virginia Street, Stephenville, TX 76401 | 2013-10-04 |
| 1477735140 | Nanette V Evans M.d., P.a. | Radiology | 150 Rivernorth Blvd., Stephenville, TX 76401 | 2007-12-04 |
| Find all providers in zip 76401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615527 | Debra Lucas | Counselor | 1523 W Lingleville Rd, Stephenville, TX 76401-1821 | 2020-06-29 |
| 1346889946 | Clint David Tomlinson | Counselor | 101 Spicewood Dr, Stephenville, TX 76401-6062 | 2019-12-30 |
| 1699201871 | Maria D. Crump | Counselor | 1917 W Washington St Ste 7, Stephenville, TX 76401-4073 | 2017-05-07 |
| 1548407000 | Jeannie Lynn Howard | Counselor | 1523 W Lingleville Rd Ste A, Stephenville, TX 76401-1821 | 2009-01-20 |
| 1154597326 | Stacy Albert Jerrett | Counselor | 12100 Fm 3025, Stephenville, TX 76401-6402 | 2008-05-07 |
| 1447440938 | The Helping Place | Counselor | 154 E Washington St, Stephenville, TX 76401-4349 | 2007-07-31 |
| 1760680771 | Heather Lynn Osman | Counselor | 183 W Washington St, Stephenville, TX 76401-4254 | 2007-07-11 |
| 1538245360 | Elizabeth L. Chambers | Counselor | 211 N Belknap St, Stephenville, TX 76401-3448 | 2006-10-27 |
| 1871542910 | Gordon Counseling Center, Inc. | Counselor | 222b E College St, Stephenville, TX 76401-4303 | 2006-05-08 |
| 1417516394 | Daena Castillo Stewardson | Counselor | 622 E Washington St, Stephenville, TX 76401-4442 | 2019-06-13 |
| Find all providers in STEPHENVILLE | ||||
| City | STEPHENVILLE |
| Zip Code | 76401 |
Please comment or provide details below to improve the information on MR. JERRY LYNN HUCKABEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.