Individual provider Active NPI

Rebekah Hazekamp, LPC

  • Professional Counselor
  • Hackettstown, NJ
National Provider Identifier
1316344013
Registry record updated Jul 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00504300 Issued in NJ
Practice address
254B Mountain Ave
Suite 202
Hackettstown, NJ 07840-2413
Phone
(908) 979-1144
NPI assigned
Nov 24, 2014
Last updated
Jul 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2015

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 37PC00504300 NJ Primary

Addresses

Primary practice location

254B Mountain Ave
Suite 202
Hackettstown, NJ 07840-2413

Mailing address

254B Mountain Ave
Suite 202
Hackettstown, NJ 07840-2413
Phone (908) 979-1144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240308001194 NJ Practitioner - Mental Health Counselor 2466898739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Associates of North Jersey LLCGroup PAC ID 2264658418, 6 clinicians

Practice addresses (Care Compare)

108 Bilby Rd
Suite 305
Hackettstown, NJ 07840-4174
Phone (908) 979-1144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00504300NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group PastSince Feb 25, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436659200000",
    "number": "1316344013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254B MOUNTAIN AVE",
            "address_2": "SUITE 202",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402413",
            "telephone_number": "908-979-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254B MOUNTAIN AVE",
            "address_2": "SUITE 202",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402413",
            "telephone_number": "908-979-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEKAMP",
        "first_name": "REBEKAH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2015-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00504300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.