Active NPI
Eileen M. Hathaway, LLP
- Counseling Psychologist
- East Lansing, MI
National Provider Identifier
1003086059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6301009001
- Practice address
- 5030 Northwind Dr
Suite 108
East Lansing, MI 48823-5034 - Phone
- (517) 336-4335
- Fax
- (517) 336-0101
- NPI assigned
- Mar 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6301009001 | MI | Primary |
Addresses
Primary practice location
5030 Northwind Dr
Suite 108
East Lansing, MI 48823-5034
Mailing address
PO Box 10
Mason, MI 48854-0010
Phone (517) 336-4335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301009001 | MI | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Community Resources | Past | Accepting new patients | |
| New Community Resources | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Okemos, MI
- NPI 1154421824
-
- Counselor
- East Lansing, MI
- NPI 1881906782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1003086059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "MASON",
"state": "MI",
"postal_code": "488540010",
"telephone_number": "517-336-4335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5030 NORTHWIND DR",
"address_2": "SUITE 108",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488235034",
"telephone_number": "517-336-4335",
"fax_number": "517-336-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATHAWAY",
"first_name": "EILEEN",
"middle_name": "M.",
"credential": "LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-06",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301009001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.