Organization Active NPI

Hawthorn Hive LLC

  • Counselor
  • Traverse City, MI
National Provider Identifier
1932825981
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
HAWTHORN HIVE LLC
Practice address
1212 Veterans Dr Ste 206
Traverse City, MI 49684-4734
Phone
(231) 590-8650
Fax
(231) 642-9101
NPI assigned
Oct 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Kari Lyn De Boer, LPC, ATR, RYTNPI 1710287073
Title
Owner - Sole Proprietor LLC
Phone
(231) 590-8650

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1212 Veterans Dr Ste 206
Traverse City, MI 49684-4734

Mailing address

PO Box 6463
Traverse City, MI 49696-6463
Phone (231) 590-8650

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1932825981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6463",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496966463",
            "telephone_number": "231-590-8650",
            "fax_number": "231-642-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 VETERANS DR STE 206",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844734",
            "telephone_number": "231-590-8650",
            "fax_number": "231-642-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORN HIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "DE BOER",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER - SOLE PROPRIETOR LLC",
        "authorized_official_telephone_number": "231-590-8650",
        "authorized_official_credential": "LPC, ATR, RYT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.