Active NPI
Marcy Hawkins, CADC-II, ICADC, CCGC
- Addiction (Substance Use Disorder) Counselor
- Pleasanton, CA
National Provider Identifier
1518100874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- A3813198
- Practice address
- 440 Boulder CT
Suite 100-B
Pleasanton, CA 94566-8314 - Phone
- (925) 426-0501
- Fax
- (925) 426-0506
- NPI assigned
- Apr 15, 2009
- Last updated
- Oct 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A3813198 | CA | Primary |
Addresses
Primary practice location
440 Boulder CT
Suite 100-B
Pleasanton, CA 94566-8314
Mailing address
PO Box 5217
Pleasanton, CA 94566-0417
Phone (925) 426-0501
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A3813198 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rquest, Inc | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
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": "1239753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1518100874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5217",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945660417",
"telephone_number": "925-426-0501",
"fax_number": "925-426-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 BOULDER CT",
"address_2": "SUITE 100-B",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945668314",
"telephone_number": "925-426-0501",
"fax_number": "925-426-0506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "MARCY",
"credential": "CADC-II, ICADC, CCGC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-15",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A3813198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.