Active NPI
Leo R. Hawkins Jr.
- Mental Health Counselor
- Gulfport, MS
National Provider Identifier
1235973603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 9414 Three Rivers Rd Ste Gulfport
Gulfport, MS 39503-4096 - Phone
- (228) 243-4167
- NPI assigned
- Jun 20, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
9414 Three Rivers Rd Ste Gulfport
Gulfport, MS 39503-4096
Mailing address
614 Morris St
Waveland, MS 39576-3038
Phone (228) 357-1861
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1235973603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 MORRIS ST",
"city": "WAVELAND",
"state": "MS",
"postal_code": "395763038",
"telephone_number": "228-357-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9414 THREE RIVERS RD STE GULFPORT",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395034096",
"telephone_number": "228-243-4167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "LEO",
"middle_name": "R.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-20",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.