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MR. DOUGLAS V HUEZO LAC
NPI 1013174093
Counselor - Mental Health in Phoenix, AZ

Active since May 19, 2008PECOS Enrolled
1415 N 1ST ST, PHOENIX, AZ 85004(602) 685-6000(602) 685-6001 Get Directions Write a Review

NPPES record last updated: May 19, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Douglas V Huezo Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DOUGLAS V HUEZO LAC (NPI 1013174093) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LAC-12588) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013174093
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DOUGLAS V HUEZOCredential: LAC
Location Address1415 N 1ST STPhoenix, AZ 85004-1604
Mailing Address3003 N Central Ave, Suite 200Phoenix, AZ 85012-2902 · (602) 685-6000 · Fax (602) 685-6001
Phone(602) 685-6000
Fax(602) 685-6001
Sole ProprietorNo
Enumeration DateMay 19, 2008
✔ NPI 1013174093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · LAC-12588
1415 N 1ST ST, Phoenix, AZ 85004
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Douglas V Huezo Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Douglas Huezo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Crisis Preparation And Recovery, Inc
10 mi
Community/Behavioral Health
2120 S MCCLINTOCK DR STE 105
Tempe, AZ 85282
  • Reassigned Medicare billing, Arizona enrollment
  • 57 clinicians in this Medicare group
NPI 1912270422 (480) 804-0326

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IMHR EPICENTER
Community/Behavioral Health
1415 N 1ST ST
PHOENIX, AZ 85004
Maricopa County (602) 321-5738
MS. ALEXANDRA O'HANNON MSW
Social Worker
1415 N 1ST ST
PHOENIX, AZ 85004
Maricopa County (602) 685-6000
MS. IRIS S MCAVOY LCSW
Social Worker (Clinical)
1415 N 1ST ST
PHOENIX, AZ 85004
Maricopa County (602) 685-6000
MS. MARTHA M PALACIO LCSW
Social Worker (Clinical)
1415 N 1ST ST
PHOENIX, AZ 85004
Maricopa County (602) 685-6000
MRS. TAMARA L LUCKETT LCSW
Social Worker (Clinical)
1415 N 1ST ST
PHOENIX, AZ 85004
Maricopa County (602) 302-7815
MS. LOUISE K SHAPIRO LCSW
Social Worker (Clinical)
1415 N 1ST ST
PHOENIX, AZ 85004
Maricopa County (602) 685-6000
MS. STEPHANIE M HUMPHREY LPC
Counselor (Mental Health)
1415 N 1ST ST
PHOENIX, AZ 85004
Maricopa County (602) 685-6000
MS. KIMBERLY S NOLL LCSW
Social Worker (Clinical)
1415 N 1ST ST
PHOENIX, AZ 85004
Maricopa County (602) 685-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Huezo's NPI number?

The NPI number for Douglas Huezo is 1013174093. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Douglas Huezo located?

Douglas Huezo practices at 1415 N 1st St, Phoenix, AZ 85004. The listed phone number is (602) 685-6000.

What is Douglas Huezo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Douglas Huezo enrolled in Medicare?

Yes. Douglas Huezo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglas Huezo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Huezo reassigns Medicare benefits to Crisis Preparation And Recovery, Inc (Tempe, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Huezo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Huezo accept?

Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Douglas Huezo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Huezo was last updated on May 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.