Active NPI
John Douglas Hawkins Sr., D.D., M.S.
- Mental Health Counselor
- Boynton Beach, FL
National Provider Identifier
1508200759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH10291
- Practice address
- 1034 Gateway Blvd
Ste. 104
Boynton Beach, FL 33426-8369 - Phone
- (561) 797-0631
- NPI assigned
- Apr 18, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH10291 | FL | Primary |
| Professional Counselor | 101YP2500X | IMH10291 | FL | |
| Marriage & Family Therapist | 106H00000X | IMH10291 | FL |
Addresses
Primary practice location
1034 Gateway Blvd
Ste. 104
Boynton Beach, FL 33426-8369
Mailing address
1034 Gateway Blvd
Ste. 104
Boynton Beach, FL 33426-8369
Phone (561) 797-0631
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 |
|---|---|---|---|
| IMH10291 | FL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1508200759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 GATEWAY BLVD",
"address_2": "STE. 104",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268369",
"telephone_number": "561-797-0631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 GATEWAY BLVD",
"address_2": "STE. 104",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268369",
"telephone_number": "561-797-0631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "JOHN",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "D.D., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-18",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH10291",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "IMH10291",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "IMH10291",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.