Individual provider Active NPI

Elizabeth Hawthorne, LCSW

  • Professional Counselor
  • Carson City, NV
National Provider Identifier
1851764609
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8440-C Issued in NV
Practice address
775 Fleischmann Way
Carson City, NV 89703-2995
Phone
(775) 445-7772
NPI assigned
Nov 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8440-C NV Primary

Addresses

Primary practice location

775 Fleischmann Way
Carson City, NV 89703-2995

Mailing address

775 Fleischmann Way
Carson City, NV 89703-2995
Phone (775) 445-7772

Other practice location 1

500 N 9th St
Suite B
Modesto, CA 95350-5814
Phone (209) 341-1824

Other practice location 2

120 Pike St
Dayton, NV 89403
Phone (775) 241-9442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Unlimited CurrentSince Feb 1, 2021 Accepting new patients
Vitality Unlimited CurrentSince Feb 1, 2021 Accepting new patients
Vitality Unlimited Current Accepting new patients

Locations

120 Pike St
Dayton, NV 89403
Phone (775) 241-9440

3740 E Idaho St
Elko, NV 89801
Phone (775) 738-4158

215 Bluffs Ave
Ste 200
Elko, NV 89801
Phone (775) 738-2925

1135 Terminal Way
Ste 112
Reno, NV 89502
Phone (775) 322-3668

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": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1851764609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 FLEISCHMANN WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897032995",
            "telephone_number": "775-445-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 FLEISCHMANN WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897032995",
            "telephone_number": "775-445-7772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N 9th St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953505814",
            "country_code": "US",
            "telephone_number": "209-341-1824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Pike St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "NV",
            "postal_code": "89403",
            "country_code": "US",
            "telephone_number": "775-241-9442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "8440-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.