Ronda Lynn Hathaway, LPC LICENSED PROFESS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LPC13841 Issued in TX

Practice address

2495 N MLK Dr
Orange, TX 77630

Phone

(409) 882-9038

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Rondalyn Hathaway Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013033364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 34TH ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776301908",
            "telephone_number": "409-882-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 N MLK DR",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "77630",
            "telephone_number": "409-882-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "RONDA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPC LICENSED PROFESS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "LPC13841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "7521LC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "MHS154742",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "176409",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONDALYN",
            "last_name": "HATHAWAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wilbur W Hah, MD
• Tshana Lynn Hains, MEDICAL ASSISTANT
• Martha Hale, BCBA
• Sydney Hope Hanson
• Shelly Harley, CRNA
• Lashena Haynes, LCSW
• HB & G Investments, LLC
• Hearing Resolutions Center, LLC
• Ashley Elizabeth Heatherly, CLC
• Heavenly Sent Home Health Care

• Psychologist in Orange, TX
• Providers in Orange, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.