Carole Eloise Hawley, AAS, LCDC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

161461 Issued in OH

Practice address

4124 Linden Ave Ste 100
Dayton, OH 45432-3018

Phone

(937) 522-0869

NPI assigned

Apr 19, 2018

Sex

Female

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

Credentials

Associate of Applied Science

State licenses

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1144717786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 LINDEN AVE STE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323018",
            "telephone_number": "937-522-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 LINDEN AVE STE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323018",
            "telephone_number": "937-522-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "CAROLE",
        "middle_name": "ELOISE",
        "credential": "AAS, LCDC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "161461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Hawkins
• Rebecca Ann Hawkins, DNP, APRN
• Tametria Hawkins
• Tewanna Hawkins
• Kathye Ann Hawks
• Erin Hawley, MS, RDN, LD
• Harrison Bradford Hawley, M.D.
• Harry D Hawley, LPC
• Delaney Hawthorn
• Daniel Lee Hay Jr., LPN

• Addiction (Substance Use Disorder) Counselor in Dayton, OH
• Providers in Dayton, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.