Individual provider Active NPI

Michelle M Hawbaker, LPC, LCMHCS, CCS

  • Professional Counselor
  • Chesapeake, VA
National Provider Identifier
1710079629
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701009036 Issued in VA
Practice address
555 Belaire Ave Ste 350
Chesapeake, VA 23320-4789
Phone
(804) 207-6737
NPI assigned
Sep 28, 2006
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231208002790 VA Practitioner - Mental Health Counselor 3375992878 Reassigns benefits to 1 organization
I20240124003246 NC Practitioner - Mental Health Counselor 3375992878 Reassigns benefits to 1 organization

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
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

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

LicenseStateTypeSpecialty
CCS-13381NCMDAddiction (Substance Use Disorder) Counselor
LCAS-1992NCMDAddiction (Substance Use Disorder) Counselor
S4898NCMDProfessional Counselor
0701009036VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Counseling Associates Inc Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.