Active NPI
Jesse Hugh Hauck, LMFT
- Marriage & Family Therapist
- New York, NY
National Provider Identifier
1154571297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 54004
- Practice address
- 260 Audubon Ave Apt 27E
New York, NY 10033-6311 - Phone
- (917) 797-3675
- NPI assigned
- Sep 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 54004 | CA | Primary |
Addresses
Primary practice location
260 Audubon Ave Apt 27E
New York, NY 10033-6311
Mailing address
260 Audubon Ave Apt 27E
New York, NY 10033-6311
Phone (917) 797-3675
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Marriage & Family Therapist | Current | Accepting new patients |
Interoperability endpoints
- jessehauck@tdh.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1154571297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 AUDUBON AVE APT 27E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100336311",
"telephone_number": "917-797-3675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 AUDUBON AVE APT 27E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100336311",
"telephone_number": "917-797-3675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUCK",
"first_name": "JESSE",
"middle_name": "HUGH",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-25",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "54004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.