KELSEY HUBERTY (NPI# 1104311588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104311588 |
| Entity Type | Individual |
| Full Name | KELSEY HUBERTY |
| Credential | MA, LAADC |
| Practice Address |
19126 Magnolia St Ste 101 Huntington Beach CA 92646-2235 |
| Practice Telephone | 7143777706 |
| Practice Fax Number | 7143777715 |
| Mailing Telephone | 7143777706 |
| Mailing Fax Number | 7143777715 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LR02660117 | CA | Behavioral Health & Social Service Providers |
| Street Address |
19126 MAGNOLIA ST STE 101 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92646-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255809000 | Geraldine Anne Loughran-beutler | Registered Nurse | 9941 Hot Springs Dr, Huntington Beach, CA 92646 | 2018-11-09 |
| 1740646934 | Srinivasa Murthy | Pediatrics | 8851 Baywood Drive, Huntington Beach, CA 92646 | 2016-01-05 |
| 1134584436 | A & A Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 9106 Adams Ave, Huntington Beach, CA 92646 | 2015-12-31 |
| 1053776302 | A&a Pharmacies, Inc. | Pharmacy | 9106 Adams Avenue, 9108, Huntington Beach, CA 92646 | 2015-12-30 |
| 1194101956 | The Piercy Group, Inc. | Physical Therapist | 19032 Magnolia St. B, Huntington Beach, CA 92646 | 2015-08-04 |
| 1033596788 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 9110 Adams Avenue, Huntington Beach, CA 92646 | 2015-05-01 |
| 1427446640 | Celline Thanh Pham Dds, Inc | Dentist | 19059 Bushard St, Huntington Beach, CA 92646 | 2014-12-23 |
| 1538565320 | Orange County Urgent Care #3 Inc. | Clinic/Center | 10026-10028 Adams Avenue, Huntington Beach, CA 92646 | 2014-11-06 |
| 1184065948 | Megan Price | Behavioral Analyst | 8902 Albatross, Huntington Beach, CA 92646 | 2013-07-09 |
| 1699029504 | Jean-pierre Jacques Dufour | Family Medicine | 8952 Faust Cir., Huntington Beach, CA 92646 | 2012-10-30 |
| Find all providers in zip 92646 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972140945 | Johnnie Peeples Jr. | Counselor | 18090 Beach Blvd Ste 6, Huntington Beach, CA 92648-1327 | 2019-12-09 |
| 1841854064 | Framework Recovery, Inc. | Counselor | 15061 Springdale St Ste 112, Huntington Beach, CA 92649-1194 | 2019-04-23 |
| 1124598644 | Kate Livingood | Counselor | 18632 Beach Blvd Ste 240, Huntington Beach, CA 92648-2047 | 2018-11-27 |
| 1104333764 | Kevin Garner | Counselor | 727 Owen Dr # A-c, Huntington Beach, CA 92648-2588 | 2018-01-04 |
| 1902349095 | George Vilagut | Counselor | 16787 Beach Blvd # 274, Huntington Beach, CA 92647-4848 | 2016-11-22 |
| 1851783948 | Nanette Zumwalt Cadc-1, Ccjp | Counselor | 21062 Brookhurst St Ste 202, Huntington Beach, CA 92646-7404 | 2015-02-26 |
| 1730503764 | Laura Macdonald | Counselor | 20961 Snug Harbor Cir, Huntington Beach, CA 92646-6314 | 2014-02-11 |
| 1144592460 | Denise Sunny Smoke | Counselor | 225 7th St, Huntington Beach, CA 92648-5049 | 2012-02-01 |
| 1811268113 | Buckeye Recovery Network, LLC | Counselor | 19322 Beach Blvd, Huntington Beach, CA 92648 | 2012-01-18 |
| 1366740797 | Jorge Alvarez | Counselor | 18632 Beach Blvd., Suite 240, Huntington Beach, CA 92648 | 2011-03-09 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92646 |
Please comment or provide details below to improve the information on KELSEY HUBERTY.
| 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.