MR. KEVIN L HACKWORTH MA, LPC, LLP
NPI 1265980395
Counselor - Mental Health in Fremont, MI
About Mr. Kevin L Hackworth Ma, Lpc, Llp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KEVIN L HACKWORTH MA, LPC, LLP (NPI 1265980395) is an individual mental health provider in Fremont, Michigan, licensed in Michigan (6401017843) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Kevin L Hackworth Ma, Lpc, Llp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kevin Hackworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fremont, MI 49412
- Reassigned Medicare billing, Michigan enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kevin Hackworth's NPI number?
The NPI number for Kevin Hackworth is 1265980395. It was assigned to this individual provider in the NPPES registry on September 19, 2016.
Where is Kevin Hackworth located?
Kevin Hackworth practices at 37 E Main St Ste G, Fremont, MI 49412. The listed phone number is (231) 233-1097.
What is Kevin Hackworth's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kevin Hackworth enrolled in Medicare?
Yes. Kevin Hackworth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kevin Hackworth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Hackworth reassigns Medicare benefits to Paladins Perspective (Fremont, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Hackworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Hackworth accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Kevin Hackworth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kevin Hackworth was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Kevin L Hackworth, MA, LPC, LLP · NPI 1265980395
Mental Health provider in Fremont, Michigan. Individual provider, active in the CMS NPPES registry since September 19, 2016.
## Identity
- **NPI:** 1265980395 (Entity type: Individual)
- **Enumerated:** September 19, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6401017843 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 37 E MAIN ST STE G, Fremont, MI 49412-1295
- **Phone:** (231) 233-1097
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Paladins Perspective (NPI 1922502970, Fremont, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** May 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1265980395) · Data from the CMS NPPES public registry.