Active NPI
Jarrod Todd Hockenbury, M.S. L.S.A.C.
- Addiction (Substance Use Disorder) Counselor
- St George, UT
National Provider Identifier
1255637567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 7228748-6006
- Practice address
- 179 N 2900 E
St George, UT 84790-6415 - Phone
- (435) 229-1156
- NPI assigned
- Feb 3, 2011
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7228748-6006 | UT | Primary |
Addresses
Primary practice location
179 N 2900 E
St George, UT 84790-6415
Mailing address
179 N 2900 E
St George, UT 84790-6415
Phone (435) 229-1156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7228748-6006 | Other | UT | STATE LICENSE SUBSTANCE ABUSE COUNSELOR |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7228748-6006 | UT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1255637567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 N 2900 E",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847906415",
"telephone_number": "435-229-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 N 2900 E",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847906415",
"telephone_number": "435-229-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCKENBURY",
"first_name": "JARROD",
"middle_name": "TODD",
"name_prefix": "Mr.",
"credential": "M.S. L.S.A.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-03",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "UT",
"license": "7228748-6006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE SUBSTANCE ABUSE COUNSELOR",
"identifier": "7228748-6006",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.