Dale Raymond Hawley, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

113 Issued in MN

Practice address

790 Cleveland Ave S Ste 201
Saint Paul, MN 55116-3845

Phone

(612) 808-9730

NPI assigned

Oct 22, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1134728819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 PAYNE AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551304539",
            "telephone_number": "651-280-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CLEVELAND AVE S STE 201",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163845",
            "telephone_number": "612-808-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "DALE",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James L Hawkins, PHD
• Janene L Hawkins, PSYD LP
• Kristen Hawkins, MA, ATR-P
• Olivia Ruth Hawkins, PA
• Amy Hawks, PT
• Shane Ryan Hawley, ADC-T, MS
• Hassan Hussein Haydar
• Firuzabonu Haydarova
• Joshua Blake Hayden, MD
• Cherie Haydock, MS RD LD CNSD

• Marriage & Family Therapist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.