KRYSTAL ATHENA HUBBARD
NPI 1336783885
Peer Specialist in Detroit, MI

Active since October 28, 2019
1121 E MCNICHOLS RD, DETROIT, MI 48203(313) 365-3100(313) 365-3101 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Krystal Athena Hubbard NPPES

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

KRYSTAL ATHENA HUBBARD (NPI 1336783885) is an individual peer specialist in Detroit, Michigan and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1336783885
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKRYSTAL ATHENA HUBBARD
Location Address1121 E MCNICHOLS RDDetroit, MI 48203-2857
Mailing Address19300 Wisconsin StDetroit, MI 48221-1531 · (313) 715-1554
Fax(313) 365-3101
Sole ProprietorYes
Enumeration DateOctober 28, 2019
Last NPPES UpdateNovember 27, 2023
NPI 1336783885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

1121 E MCNICHOLS RD, Detroit, MI 48203

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.

Peer Specialist
1121 E MCNICHOLS RD
DETROIT, MI 48203
Counselor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Contractor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Case Manager/Care Coordinator
1121 E MCNICHOLS RD
DETROIT, MI 48203
Contractor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Peer Specialist
1121 E MCNICHOLS RD
DETROIT, MI 48203
Contractor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Peer Specialist
1121 E MCNICHOLS RD
DETROIT, MI 48203

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 Krystal Hubbard's NPI number?

The NPI number for Krystal Hubbard is 1336783885. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Where is Krystal Hubbard located?

Krystal Hubbard practices at 1121 E Mcnichols Rd, Detroit, MI 48203. The listed phone number is (313) 365-3100.

What is Krystal Hubbard's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Krystal Hubbard was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.