Individual provider Active NPI

Linda M Hackathorn, PCC-S

  • Professional Counselor
  • Canton, OH
National Provider Identifier
1194910539
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0006645- SUPV Issued in OH
Practice address
2600 Tuscarawas St W
Suite 120
Canton, OH 44708-4644
Phone
(330) 452-7694
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0006645- SUPV OH Primary

Addresses

Primary practice location

2600 Tuscarawas St W
Suite 120
Canton, OH 44708-4644

Mailing address

725 E Market St
Akron, OH 44305-2421
Phone (330) 315-2629

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

State licenses

LicenseStateTypeSpecialty
E0006645- SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
S Zaidi MD and Associates Inc PastSince Aug 1, 2000 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1194910539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052421",
            "telephone_number": "330-315-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W",
            "address_2": "SUITE 120",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084644",
            "telephone_number": "330-452-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKATHORN",
        "first_name": "LINDA",
        "middle_name": "M",
        "credential": "PCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0006645- SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.