Individual provider Active NPI

Michael Lawrence Hobson Sr.

  • Peer Specialist
  • Elizabethtown, KY
National Provider Identifier
1114894508
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
1220530 Issued in KY
Practice address
400 Ring Rd Ste 155
Elizabethtown, KY 42701-8790
Phone
(844) 473-6378
NPI assigned
Oct 20, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 1220530 KY Primary

Addresses

Primary practice location

400 Ring Rd Ste 155
Elizabethtown, KY 42701-8790

Mailing address

201 Preakness Dr
Elizabethtown, KY 42701-6738
Phone (844) 473-6378

Other practice location 1

910 2nd Ave
Rockford, IL 61104-2162
Phone (844) 473-6378 ext. 707

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

LicenseStateTypeSpecialty
1220530KYMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Renest (I) Rise CurrentSince Nov 7, 2025 Accepting new patients
Renest Recovery Support Services Peer Specialist CurrentSince Nov 7, 2025 Accepting new patients

Locations

400 Ring Rd
Ste 155
Elizabethtown, KY 42701
Phone (270) 300-4722

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.

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1114894508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PREAKNESS DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427016738",
            "telephone_number": "844-473-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RING RD STE 155",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018790",
            "telephone_number": "844-473-6378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611042162",
            "country_code": "US",
            "telephone_number": "844-473-6378 x707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOBSON",
        "first_name": "MICHAEL",
        "middle_name": "LAWRENCE",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "KY",
            "license": "1220530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.