Individual provider Active NPI

Kristina Marie Hatcher, LPCC, CDCA

  • Mental Health Counselor
  • Canton, OH
National Provider Identifier
1114419140
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2202688 Issued in OH
Practice address
6779 Orchard Trail Rd NE
Canton, OH 44721-2526
Phone
(234) 401-0012
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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 E.2202688 OH Primary

Addresses

Primary practice location

6779 Orchard Trail Rd NE
Canton, OH 44721-2526

Mailing address

6779 Orchard Trail Rd NE
Canton, OH 44721-2526
Phone (234) 401-0012

Other names 1

  • Kristina Marie Sablar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240103003924 OH Practitioner - Mental Health Counselor 0648621656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Kent State University College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6779 Orchard Trail Rd NE
Canton, OH 44721-2526
Phone (234) 401-0012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2202688OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rize Up Counseling, LLC Mental Health CurrentSince Jan 1, 2024 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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1114419140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6779 ORCHARD TRAIL RD NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212526",
            "telephone_number": "234-401-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6779 ORCHARD TRAIL RD NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212526",
            "telephone_number": "234-401-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCHER",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "credential": "LPCC, CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2202688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "SABLAR",
            "middle_name": "MARIE",
            "credential": "LPCC, CDCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.