Active NPI
Tobias Hawkins III, RDAT
- Addiction (Substance Use Disorder) Counselor
- Berkeley, CA
National Provider Identifier
1922788587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1511620623
- Practice address
- 2323 Hearst Ave
Berkeley, CA 94709-1319 - Phone
- (510) 548-7270
- NPI assigned
- Jul 19, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1511620623 | CA | Primary |
Addresses
Primary practice location
2323 Hearst Ave
Berkeley, CA 94709-1319
Mailing address
499 Merritt Ave
Oakland, CA 94610-5146
Phone (510) 712-8363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1511620623 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1922788587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "499 MERRITT AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946105146",
"telephone_number": "510-712-8363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 HEARST AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947091319",
"telephone_number": "510-548-7270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "TOBIAS",
"name_suffix": "III",
"credential": "RDAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-19",
"last_updated": "2023-07-19",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1511620623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.