Jacob Hawbaker, LAMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LAMFT-10591 Issued in AZ

Practice address

3295 W Ina Rd Ste 125
Tucson, AZ 85741-2195

Phone

(520) 257-1168

NPI assigned

Apr 10, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Statt Counseling Services, PLLC

  • Professional Counselor
  • Tucson, AZ
  • NPI 1922542174
  NPD (past)

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1710484365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12610 N GRANVILLE CANYON WAY",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857558937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 W INA RD STE 125",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412195",
            "telephone_number": "520-257-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWBAKER",
        "first_name": "JACOB",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LAMFT-10591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haven Sendero de Sonora, Inc.
• Haven Springs at Tanque Verde LLC
• Haven Springs at Tucson, LLC
• Kathleen Joyce Havens, RN, BSN
• Marguerite Elizabeth Havlis, FNP
• Robert Francis Hawke, DDS
• Hawkeye Surgical Services, LLC
• Brandon Hawkins, LCSW
• Cherrelle Hawkins, RN, CHES(R), CPHT
• Dale Wade Hawkins, N.P.

• Marriage & Family Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.