Organization Active NPI

Hawk Counseling LLC

  • Clinical Social Worker
  • Reynoldsburg, OH
National Provider Identifier
1093214330
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HAWK COUNSELING LLC
Practice address
7618 Slate Ridge Blvd
Reynoldsburg, OH 43068-3126
Phone
(614) 843-0476
NPI assigned
Feb 1, 2018
Last updated
Mar 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Holli Hawk, LISW-SNPI 1578876918
Title
Owner
Phone
(614) 843-0476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7618 Slate Ridge Blvd
Reynoldsburg, OH 43068-3126

Mailing address

7618 Slate Ridge Blvd
Reynoldsburg, OH 43068-3126
Phone (614) 843-0476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230420000389 OH Part B Supplier - Clinic/Group Practice 2961867270 Receives reassigned benefits from 2 practitioners
Practice locations: Reynoldsburg, OH

National Provider Directory

National Provider Directory

Locations

261 W Johnstown Rd
Ste 211
Gahanna, OH 43230
Phone (614) 407-5312

7618 Slate Ridge Blvd
Reynoldsburg, OH 43068
Phone (614) 219-9568

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1093214330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7618 SLATE RIDGE BLVD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683126",
            "telephone_number": "614-843-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7618 SLATE RIDGE BLVD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683126",
            "telephone_number": "614-843-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "HAWK",
        "authorized_official_first_name": "HOLLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-843-0476",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.