Individual provider Active NPI

Chris Corey Hakes, LCSW

  • Clinical Social Worker
  • Tooele, UT
National Provider Identifier
1194785378
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
369489-3501 Issued in UT
Practice address
71 N 50 W
Tooele, UT 84074-2139
Phone
(801) 990-4300
Fax
(801) 967-2127
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 369489-3501 UT Primary

Addresses

Primary practice location

71 N 50 W
Tooele, UT 84074-2139

Mailing address

PO Box 330
Magna, UT 84044-0330
Phone (801) 414-3252

Other identifiers 1

IdentifierTypeStateIssuer
U000086168OtherUTMEDICARE PTAN

Other names 1

  • Chris Hakes LLC Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20070718000535 UT Practitioner - Clinical Social Worker 7113028358 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
369489-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Ridge Counseling LLC Clinical CurrentSince Dec 10, 2013 Accepting new patients
Summit Clinical Services of Utah LLC CurrentSince Sep 1, 2014 Accepting new patients

Locations

2711 S 8500 W
Magna, UT 84044

1151 E 3900 S
Ste B299
Salt Lake Cty, UT 84124
Phone (801) 263-0717

71 N 50 W
Tooele, UT 84074

50 N Main St
Tooele, UT 84074
Phone (801) 634-8727

1561 W 7000 S
Ste 200
West Jordan, UT 84084
Phone (801) 263-0717

3509 W 4700 S
West Valley City, UT 84129

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1194785378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840440330",
            "telephone_number": "801-414-3252",
            "fax_number": "801-967-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 N 50 W",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742139",
            "telephone_number": "801-990-4300",
            "fax_number": "801-967-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKES",
        "first_name": "CHRIS",
        "middle_name": "COREY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "369489-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "U000086168",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "LLC",
            "middle_name": "HAKES",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tooele, UT

Sources for this page

Verify at the official NPI Registry.