Michael R Hathcock, BS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

800 NE 19TH St
Moore, OK 73160-6302

Phone

(405) 912-5145

Fax

(405) 912-5147

NPI assigned

Jul 26, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

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.

• Chrysalis Institute, LLC

  • Mental Health Counselor
  • Moore, OK
  • NPI 1265663363
  NPD (past)

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1407134315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 ROLLING OAK RD",
            "city": "NEWALLA",
            "state": "OK",
            "postal_code": "748571255",
            "telephone_number": "405-618-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NE 19TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606302",
            "telephone_number": "405-912-5145",
            "fax_number": "405-912-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHCOCK",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeana Harris
• Andrea Harrison
• Shawn Harrison
• Cathy L Hasenbeck
• Antoinette J Hathcock
• Crystal A Hawkins, MED LPC CANDIDATE
• Tonya M Hawkins
• Tammie Lee Haworth
• Sara Kay Haymans
• Healthcare Express, LLP

• Mental Health Counselor in Moore, OK
• Providers in Moore, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.