DAVID HUBERTY LICSW, LMFT, ADC
NPI 1407915812
Counselor - Addiction (Substance Use Disorder) in Minneapolis, MN

Q: What is David Huberty's NPI number?

The NPI number for David Huberty is 1407915812. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Q: What is David Huberty's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for David Huberty was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment

3100 W LAKE ST, SUITE 210, MINNEAPOLIS, MN 55416(612) 925-6033(612) 925-8496 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About David Huberty Licsw, Lmft, Adc NPPES

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

DAVID HUBERTY LICSW, LMFT, ADC (NPI 1407915812) is an individual addiction (substance use disorder) provider in Minneapolis, Minnesota, licensed in Minnesota (300460) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1968).

NPPES Registry Identity

NPI1407915812

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameDAVID HUBERTYCredential: LICSW, LMFT, ADC

Location Address3100 W LAKE ST, SUITE 210Minneapolis, MN 55416-4527

Mailing Address3100 W Lake St, Suite 210Minneapolis, MN 55416-4527 · (612) 925-6033 · Fax (612) 925-8496

Phone(612) 925-6033

Fax(612) 925-8496

Sole ProprietorNo

Medical School CMSOtherGraduated 1968

Enumeration DateDecember 8, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1407915812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MN · 300460

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 227 (MN)

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 305 (MN)

3100 W LAKE ST, Minneapolis, MN 55416

Open in Google Maps ↗

Other Identifiers 5

Other6264238MN · Medica Choice

Other10423C154MN · Ucare

Other94380MN · Optum

Other7H907HUMN · Bcbs

OtherHP19960MN · Healthpartners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Huberty Licsw, Lmft, Adc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345423109

PECOS Enrollment IDI20110331000870

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

341 services20 patients

Leave this field empty

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.

DIANE JASKOVIAK LP

Psychologist (Clinical)