DYNASTY HUCKLEBY
NPI 1225649437
Marriage & Family Therapist in San Francisco, CA

Q: What is Dynasty Huckleby's NPI number?

The NPI number for Dynasty Huckleby is 1225649437. It was assigned to this individual provider in the NPPES registry on August 11, 2020.

Q: What is Dynasty Huckleby's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Dynasty Huckleby was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 11, 2020PECOS Enrolled

582 MARKET ST STE 1608, SAN FRANCISCO, CA 94104(833) 931-1716 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 25, 2024, Aug 11, 2020 (2 updates tracked since 2020).

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About Dynasty Huckleby NPPES

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

DYNASTY HUCKLEBY (NPI 1225649437) is an individual marriage & family therapist in San Francisco, California and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1225649437

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDYNASTY HUCKLEBY

Location Address582 MARKET ST STE 1608San Francisco, CA 94104-5317

Mailing Address582 Market St Ste 1608San Francisco, CA 94104-5317 · (833) 931-1716

Phone(833) 931-1716

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 11, 2020

Last NPPES UpdateApril 25, 20242 updates tracked since enumeration

NPPES CertifiedApril 25, 2024

✔ NPI 1225649437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

582 MARKET ST STE 1608, San Francisco, CA 94104

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Secondary Practice Locations 3

Location 12900 Bristol StCosta Mesa, CA 92626-5981 · Phone (833) 931-1716

Location 26080 Center DrLos Angeles, CA 90045-9209 · Phone (833) 931-1716

Location 34295 Gesner StSan Diego, CA 92117-6646 · Phone (833) 931-1716

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dynasty Huckleby is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294179214

PECOS Enrollment IDI20240219000749

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.

Other Providers at the Same Location NPPES 18

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

DILEEP SHERGILL PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)