Organization Active NPI

Heawon Hake Inc.

  • Mental Health Counselor
  • South Setauket, NY
National Provider Identifier
1811054786
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
038650 Issued in NY
Legal business name
HEAWON HAKE INC.
Practice address
3771 Nesconset Hwy
Suite 208a
South Setauket, NY 11720-1163
Phone
(631) 751-1300
Fax
(631) 751-1300
NPI assigned
Jan 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Heawon Hake, LCSWNPI 1720183718
Title
President
Phone
(631) 751-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 038650 NY Primary

Addresses

Primary practice location

3771 Nesconset Hwy
Suite 208a
South Setauket, NY 11720-1163

Mailing address

3771 Nesconset Hwy
Suite 208a
South Setauket, NY 11720-1163
Phone (631) 751-1300

National Provider Directory

National Provider Directory

Locations

3771 Nesconset Hwy
Ste 208A
South Setauket, NY 11720
Phone (631) 751-1300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811054786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY",
            "address_2": "SUITE 208A",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201163",
            "telephone_number": "631-751-1300",
            "fax_number": "631-751-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY",
            "address_2": "SUITE 208A",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201163",
            "telephone_number": "631-751-1300",
            "fax_number": "631-751-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAWON HAKE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAKE",
        "authorized_official_first_name": "HEAWON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-751-1300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "038650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.