Individual provider Active NPI

Chase Mackenzie Hoekwater, LLPC

  • Professional Counselor
  • Jenison, MI
National Provider Identifier
1609235746
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401015179 Issued in MI
Practice address
7284 12TH Ave
Jenison, MI 49428-8127
Phone
(616) 828-2583
NPI assigned
Feb 17, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401015179 MI Primary

Addresses

Primary practice location

7284 12TH Ave
Jenison, MI 49428-8127

Mailing address

7284 12TH Ave
Jenison, MI 49428-8127
Phone (616) 828-2583

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

LicenseStateTypeSpecialty
6401015179MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1609235746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7284 12TH AVE",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494288127",
            "telephone_number": "616-828-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7284 12TH AVE",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494288127",
            "telephone_number": "616-828-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEKWATER",
        "first_name": "CHASE",
        "middle_name": "MACKENZIE",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.