Individual provider Active NPI

Rebecca Hahn-Hooten, LMFT 115545

  • Mental Health Counselor
  • Ontario, CA
National Provider Identifier
1750756714
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
115545 Issued in CA
Practice address
1406 North Cypress Ave
Ontario, CA 91762
Phone
(951) 444-1647
NPI assigned
Dec 2, 2015
Last updated
Jun 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMF78251 CA
Marriage & Family Therapist 106H00000X IMF 78251 CA
Mental Health Counselor 101YM0800X 115545 CA Primary

Addresses

Primary practice location

1406 North Cypress Ave
Ontario, CA 91762

Mailing address

1030 N Mountain Ave Ste 290
Ontario, CA 91762-2114
Phone (951) 444-1647

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Ontario Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240522003964 CA Practitioner - Marriage and Family Therapist 3173965126 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF78251CAMDMental Health Counselor
IMF 78251CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Mental Health CurrentSince Apr 12, 2024 Accepting new patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince Mar 1, 2025 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

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": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1750756714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N MOUNTAIN AVE STE 290",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917622114",
            "telephone_number": "951-444-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 NORTH CYPRESS AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91762",
            "telephone_number": "951-444-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN-HOOTEN",
        "first_name": "REBECCA",
        "credential": "LMFT 115545",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2021-06-16",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF78251",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 78251",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "115545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ontario",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Ontario",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Ontario",
            "address_1": "1030 N Mountain Ave Ste 290",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917622114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.