Organization Active NPI

Hawk Ridge Therapeutic Center

  • Community Health Worker
  • Asheville, NC
National Provider Identifier
1487082525
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
6304 Issued in NC
Legal business name
HAWK RIDGE THERAPEUTIC CENTER
Practice address
1998 Hendersonville Rd Ste 13
Asheville, NC 28803-2192
Phone
(828) 277-7672
Fax
(828) 687-8890
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Mr. Michael K Krizek, LMBT
Title
Therapist
Phone
(828) 277-7672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X 6304 NC Primary

Addresses

Primary practice location

1998 Hendersonville Rd Ste 13
Asheville, NC 28803-2192

Mailing address

1998 Hendersonville Rd
Suite 13
Asheville, NC 28803-2349
Phone (828) 277-7672

Other identifiers 1

IdentifierTypeStateIssuer
6304OtherNCSTATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1487082525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 HENDERSONVILLE RD",
            "address_2": "SUITE 13",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032349",
            "telephone_number": "828-277-7672",
            "fax_number": "828-687-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 HENDERSONVILLE RD STE 13",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032192",
            "telephone_number": "828-277-7672",
            "fax_number": "828-687-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWK RIDGE THERAPEUTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "KRIZEK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "828-277-7672",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMBT"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "NC",
            "license": "6304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6304",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.