Individual provider Active NPI

Josef Kevin Hardwick, MDIV, MS, LMFT

  • Marriage & Family Therapist
  • Brooklyn Park, MN
National Provider Identifier
1801986336
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1170 Issued in MN
Practice address
5001 Edinbrook Ter Unit 43370
Brooklyn Park, MN 55443-4218
Phone
(612) 388-9525
Fax
(612) 486-8726
NPI assigned
Oct 13, 2006
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24988 MN
Marriage & Family Therapist 106H00000X MT3454 FL
Marriage & Family Therapist 106H00000X 1170 MN Primary

Addresses

Primary practice location

5001 Edinbrook Ter Unit 43370
Brooklyn Park, MN 55443-4218

Mailing address

5001 Edinbrook Ter Unit 43370
Minneapolis, MN 55443-4218
Phone (612) 388-9525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20250415003402 MN Practitioner - Clinical Social Worker 6901321629 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
24988MNMDClinical Social Worker
MT3454FLMDMarriage & Family Therapist
1170MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Mar 21, 2025 Accepting new patients
Lampein Marriage and Family Therapy Institute, Inc. Marriage & Family Therapist Current Accepting new patients

Locations

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

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1801986336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 EDINBROOK TER UNIT 43370",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554434218",
            "telephone_number": "612-388-9525",
            "fax_number": "612-486-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 EDINBROOK TER UNIT 43370",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554434218",
            "telephone_number": "612-388-9525",
            "fax_number": "612-486-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDWICK",
        "first_name": "JOSEF",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "MDIV, MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "24988",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3454",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

Verify at the official NPI Registry.