MR. GARY LEE HUBBARD MS LCPC LPC NPI 1508956947

NPI Information

NPI: 1508956947
Provider Name: MR. GARY LEE HUBBARD, MS, LCPC, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
5182 CROFTON DR
ROCKFORD, IL
ZIP 61114
Phone: (815) 877-2882
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MR. Gary Lee Hubbard, MS, LCPC, LPC is a professional counselor in Rockford, IL. MR. Gary Lee Hubbard, MS, LCPC, LPC NPI is 1508956947. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5182 CROFTON DR
ROCKFORD, IL
ZIP 61114-424
Phone: (815) 877-2882
Fax: (815) 877-8912

The enumeration date for this NPI number is 10/14/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	3294-125	WISCONSIN	Yes
2	101YM0800X	Counselor	Mental Health		ILLINOIS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0010122558	OTHER	ILLINOIS	BCBS PROVIDER #
2	025896000-19412277	OTHER	ILLINOIS	MAGELLAN PROVIDER #
3	359327	OTHER	CALIFORNIA	MANAGED HEALTH NETWORK PI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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