Michelle M Hawbaker – Professional Counselor

Key facts

NPI: 1710079629
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: 0701009036 (VA)
Practice address: 555 Belaire Ave Ste 350
Chesapeake, VA 23320-4789
Phone: (804) 207-6737
NPI assigned: Sep 28, 2006
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Commonwealth Counseling Associates Inc Clinical Psychologist · Mechanicsville, VA · NPI 1851345805

Medicare reassignment Care Compare group NPD ADDICTION (SUBSTANCE USE DISORDER) · VA
Integrative Wellness Solutions, PLLC Psychologist · Mooresville, NC · NPI 1447760871

Medicare reassignment NC
Port Health Services Community/Behavioral Health Agency · Whiteville, NC · NPI 1174005789

NPD (past)

Medicare Care Compare profile

Specialty: Mental Health Counselor
Education: Other, 1995
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Commonwealth Counseling Associates Inc (207 clinicians)

Practice addresses (Care Compare)

555 Belaire Ave
Suite 350
Chesapeake, VA 23320-4789
Phone (804) 207-6737

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in VA, NC
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20231208002790	VA	Practitioner - Mental Health Counselor	3375992878	Reassigns benefits to 1 organization
I20240124003246	NC	Practitioner - Mental Health Counselor	3375992878	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

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	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Commonwealth Counseling Associates Inc	Addiction (Substance Use Disorder)	Current since Jan 1, 2024	Accepting new patients
Port Health Services		Past	Accepting new patients

Locations

816 Greenbrier Cir
Ste 100
Chesapeake, VA 23320
Phone (757) 301-8747

555 Belaire Ave
Ste 350
Chesapeake, VA 23320
Phone (850) 445-6915

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

10710 Midlothian Tpke
Ste 127
North Chesterfield, VA 23235
Phone (804) 220-0903

Specialties & licenses

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	Yes

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 identifiers

Identifier	Type	State	Issuer
30017707280001	Medicaid	VA
6103169	Medicaid	NC
LCO383	Other	MD	STATE LICENSE MD
0701009036	Other	VA	STATE LICENSE VA
4898	Other	NC	STATE LICENSE NC

Other names

Michelle Marie Hawbaker Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 3, 2024.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017707280001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103169",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE MD",
            "identifier": "LCO383",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE VA",
            "identifier": "0701009036",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NC",
            "identifier": "4898",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HAWBAKER",
            "middle_name": "MARIE",
            "credential": "LCAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.