Individual provider Active NPI

Joann Patrice Frey Hawkins, LP

  • Mental Health Counselor
  • Mankato, MN
National Provider Identifier
1093860587
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LP0414 Issued in MN
Practice address
209 S 2ND St
Suite 306
Mankato, MN 56001-3626
Phone
(507) 387-1350
Fax
(507) 387-6605
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LP0414 MN Primary

Addresses

Primary practice location

209 S 2ND St
Suite 306
Mankato, MN 56001-3626

Mailing address

40700 Cedar Ridge Rd
Saint Peter, MN 56082-5346
Phone (507) 931-9172

Other identifiers 5

IdentifierTypeStateIssuer
114893OtherMNUCARE
HP28656OtherMNHEALTH PARTNERS
1021817OtherMNPREFERRED ONE
6H522FROtherMNBLUE CROSS
6245487OtherMNUNITED BEHAVORIAL HEALTH

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LP0414MNMDMental Health Counselor
0414MNMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Mankato Psychology Clinic, PLC Mental Health PastSince Nov 1, 1994 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093860587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40700 CEDAR RIDGE RD",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560825346",
            "telephone_number": "507-931-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S 2ND ST",
            "address_2": "SUITE 306",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013626",
            "telephone_number": "507-387-1350",
            "fax_number": "507-387-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY HAWKINS",
        "first_name": "JOANN",
        "middle_name": "PATRICE",
        "name_prefix": "Ms.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "LP0414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "114893",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP28656",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1021817",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "6H522FR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVORIAL HEALTH",
            "identifier": "6245487",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.