Paladins Perspective

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PALADINS PERSPECTIVE

Practice address

37 E Main St Ste G
Fremont, MI 49412-1295

Phone

(231) 233-1097

NPI assigned

Mar 22, 2018

Last updated

Dec 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Hackworth, LLPCNPI 1265980395

Title

Counselor

Phone

(231) 233-1097

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Kevin L Hackworth, MA, LPC, LLP

  • Mental Health Counselor
  • Fremont, MI
  • NPI 1265980395

  Professional

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1922502970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7322 ROLLING RD",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493378702",
            "telephone_number": "231-233-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 E MAIN ST STE G",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121295",
            "telephone_number": "231-233-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALADINS PERSPECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "HACKWORTH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "231-233-1097",
        "authorized_official_credential": "LLPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Callis Niquette, DDS
• Julie A Norris, M.D.
• David Wayne Oosting, O.D.
• Ashly Aleese Ott, PA-C
• Bunnita Marie Ouwinga, LLP
• Dipal Shivlal Patel, RPH
• Marjorie B Pawli
• Pawsitive Counseling Center PC
• Rebecca Lynn Payne, O.D.
• Susan Faye Pell, DNP, AGCNS-BC

• Professional Counselor in Fremont, MI
• Providers in Fremont, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.