Individual provider Active NPI

Haylee M Hanthorn, LMHC, SUDP

  • Addiction (Substance Use Disorder) Counselor
  • Port Orchard, WA
National Provider Identifier
1477025948
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
60849807 Issued in WA
Practice address
320 S Kitsap Blvd
Port Orchard, WA 98366-3778
Phone
(360) 377-3776
NPI assigned
Dec 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61667283 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X 60849807 WA Primary

Addresses

Primary practice location

320 S Kitsap Blvd
Port Orchard, WA 98366-3778

Mailing address

2261 SE Abernathy CT
Port Orchard, WA 98366-2331
Phone (425) 923-3386

Other identifiers 1

IdentifierTypeStateIssuer
070688MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20250506000838 WA Practitioner - Mental Health Counselor 5395262109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Community Health ServicesGroup PAC ID 9436044781, 47 clinicians

Practice addresses (Care Compare)

320 S Kitsap Blvd
Port Orchard, WA 98366-3778
Phone (360) 377-3776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60849807WAMDAddiction (Substance Use Disorder) Counselor
LH61667283WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Community Health Services CurrentSince Jun 1, 2025 Accepting new patients
Peninsula Community Health Services CurrentSince Jun 1, 2025 Accepting new patients
Peninsula Community Health Services Past Accepting new patients

Locations

300 E Campus Dr
Belfair, WA 98528
Phone (360) 277-2302

31 NE State Route 300
Ste 200
Belfair, WA 98528
Phone (360) 377-3779

2442 Perry Ave
Bremerton, WA 98310

8107 Central Valley Rd NE
Bremerton, WA 98311

2650 NE John Carlson Rd
Bremerton, WA 98311

5455 Almira Dr NE
Bremerton, WA 98311
Phone (360) 373-5031

616 6th St
Bremerton, WA 98337
Phone (360) 478-2366

11901 137th Ave NW
Unit A
Gig Harbor, WA 98329
Phone (253) 649-0696

25989 Barber Cut Off Rd NE
Kingston, WA 98346
Phone (360) 297-2844

26201 Siyaya Ave NE
Rm 121
Kingston, WA 98346

320 S Kitsap Blvd
Port Orchard, WA 98366
Phone (360) 876-7215

2150 Fircrest Dr SE
Rm G1
Port Orchard, WA 98366

19917 7th Ave NE
Ste 205
Poulsbo, WA 98370
Phone (360) 697-7636

627 W Franklin St
Shelton, WA 98584
Phone (360) 427-8940

3100 NW Bucklin Hill Rd
Ste 202
Silverdale, WA 98383
Phone (360) 377-3773

Organizations & group practices 3

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": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1477025948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 SE ABERNATHY CT",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662331",
            "telephone_number": "425-923-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S KITSAP BLVD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663778",
            "telephone_number": "360-377-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANTHORN",
        "first_name": "HAYLEE",
        "middle_name": "M",
        "credential": "LMHC, SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61667283",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60849807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070688",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

Verify at the official NPI Registry.