Active NPI
Michelle M Hawbaker, LPC, LCMHCS, CCS
- Professional Counselor
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701009036
- Practice address
- 555 Belaire Ave Ste 350
Chesapeake, VA 23320-4789 - Phone
- (804) 207-6737
- NPI assigned
- Sep 28, 2006
- Last updated
- Jan 3, 2024
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-1992 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CCS-13381 | NC | |
| Mental Health Counselor | 101YM0800X | S4898 | NC | |
| Professional Counselor | 101YP2500X | S4898 | NC | |
| Professional Counselor | 101YP2500X | 0701009036 | VA | Primary |
Addresses
Primary practice location
555 Belaire Ave Ste 350
Chesapeake, VA 23320-4789
Mailing address
555 Belaire Ave Ste 350
Chesapeake, VA 23320-4789
Phone (804) 207-6737
Other practice location 1
122 Gateway Blvd Ste C
Mooresville, NC 28117-5544
Phone (704) 360-3637
Other names 1
- Michelle Marie Hawbaker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
555 Belaire Ave
Suite 350
Chesapeake, VA 23320-4789
Phone (804) 207-6737
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCS-13381 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| LCAS-1992 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| S4898 | NC | MD | Professional Counselor |
| 0701009036 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Counseling Associates Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Port Health Services | Past | Accepting new patients |
Locations
555 Belaire Ave
Ste 350
Chesapeake, VA 23320
Phone (850) 445-6915
816 Greenbrier Cir
Ste 100
Chesapeake, VA 23320
Phone (757) 301-8747
9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112
10710 Midlothian Tpke
Ste 127
North Chesterfield, VA 23235
Phone (804) 220-0903
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LifeStance Health
- Clinical Psychologist
- Mechanicsville, VA
- NPI 1851345805
Addiction (Substance Use Disorder)
-
dba LifeStance Health
- Psychologist
- Mooresville, NC
- NPI 1447760871
-
- Community/Behavioral Health Agency
- Whiteville, NC
- NPI 1174005789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1710079629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 BELAIRE AVE STE 350",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204789",
"telephone_number": "804-207-6737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 BELAIRE AVE STE 350",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204789",
"telephone_number": "804-207-6737"
}
],
"practiceLocations": [
{
"address_1": "122 Gateway Blvd Ste C",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281175544",
"country_code": "US",
"telephone_number": "704-360-3637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAWBAKER",
"first_name": "MICHELLE",
"middle_name": "M",
"credential": "LPC, LCMHCS, CCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-1992",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "CCS-13381",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "S4898",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "S4898",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701009036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "HAWBAKER",
"middle_name": "MARIE",
"credential": "LCAS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.