Reva Renee Hacker, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

167212 Issued in KY

Practice address

86 Highway 638 Ste 1
Manchester, KY 40962-7289

Phone

(606) 598-0070

Fax

(844) 273-1765

NPI assigned

Jun 23, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Reva Renee Hobbs Former name

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Lancaster Family Health CareGroup PAC ID 0446634216, 5 clinicians

Mountain Family Practice Clinic of Manchester IncGroup PAC ID 0143465617, 16 clinicians

Family Practice Clinic of Booneville, Inc.Group PAC ID 6406764612, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3044/brand/1/csg/1/fhir/r4

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 Practice Clinic of Booneville, Inc.

  • Rural Health Clinic/Center
  • Booneville, KY
  • NPI 1326152109
  Medicare reassignment Care Compare group NPD
• Lancaster Family Health Care

  • Rural Health Clinic/Center
  • Lancaster, KY
  • NPI 1942946710
  Medicare reassignment Care Compare group NPD
• Mountain Family Practice Clinic of Manchester Inc

  • Rural Health Clinic/Center
  • Manchester, KY
  • NPI 1689919078
  Medicare reassignment Care Compare group NPD
• Cumberland River Behavioral Health, Inc

  • Community/Behavioral Health Agency
  • Corbin, KY
  • NPI 1902023526
  NPD (past)

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1184935348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 HIGHWAY 638 STE 1",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409627289",
            "telephone_number": "606-598-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 HIGHWAY 638 STE 1",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409627289",
            "telephone_number": "606-598-0070",
            "fax_number": "844-273-1765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 American Greeting Card Rd",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407014811",
            "country_code": "US",
            "telephone_number": "606-528-7010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKER",
        "first_name": "REVA",
        "middle_name": "RENEE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "167212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100409560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REVA",
            "last_name": "HOBBS",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolyn E Hacker
• Chasity Hacker
• Dema Annette Hacker
• Judy Hacker, APRN
• Patricia Hacker, PTA
• Sabrina Nicole Hacker, M.S.
• Tammie Renee Hacker, APRN, FNP-C
• Tammy Lynn Hacker, PTA
• Jeffrey A Hammons, CRNA
• Kelsie Orilene Harris

• Mental Health Counselor in Manchester, KY
• Providers in Manchester, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.