Kristina Hawkins, IMT4036

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMT4036 Issued in FL

Practice address

858 S Duncan Dr
Tavares, FL 32778-4044

Phone

(352) 708-6283

NPI assigned

Feb 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Life Counseling CenterGroup PAC ID 0648623835, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Life Counseling Center

  • Mental Health Counselor
  • Clermont, FL
  • NPI 1033665260

  Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1982468138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N HIGHWAY 27 STE 4",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112411",
            "telephone_number": "352-708-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 S DUNCAN DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784044",
            "telephone_number": "352-708-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "KRISTINA",
        "credential": "IMT4036",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT4036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Happy Camper Pediatrics LLC
• Dennis Harkness, PA-C
• Katrina Harley
• John Harper Jr.
• Donia Harrison
• Rene Danielle Hawkins, APRN
• Audrey Hawley, H.A.S., BC-HIS
• Jennifer Merritt Hayes, MS
• Joseph Heagy
• Healthstat Wellness Lake County

• Marriage & Family Therapist in Tavares, FL
• Providers in Tavares, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.