Active NPI
Kathleen Anne Hawkins, LMFT
- Marriage & Family Therapist
- Casselberry, FL
National Provider Identifier
1992435051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3913
- Practice address
- 853 State Road 436 Ste 2001
Casselberry, FL 32707-5479 - Phone
- (407) 986-0982
- NPI assigned
- Jun 13, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3913 | FL | Primary |
Addresses
Primary practice location
853 State Road 436 Ste 2001
Casselberry, FL 32707-5479
Mailing address
811 Arlington Blvd
Altamonte Springs, FL 32701-6203
Phone (407) 616-7176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT3913 | Other | FL | LICENSE NUMBER |
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 |
|---|---|---|---|
| 3913 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1992435051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 ARLINGTON BLVD",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327016203",
"telephone_number": "407-616-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 STATE ROAD 436 STE 2001",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327075479",
"telephone_number": "407-986-0982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "KATHLEEN",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "3913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "MT3913",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Casselberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.