MR. KEVIN L HACKWORTH MA, LPC, LLP
NPI 1265980395
Counselor - Mental Health in Fremont, MI

Active since September 19, 2016PECOS EnrolledAccepts Medicare Assignment
37 E MAIN ST STE G, FREMONT, MI 49412(231) 233-1097 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2023, Mar 24, 2020, Sep 19, 2016 (3 updates tracked since 2016).

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

NPI1265980395
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KEVIN L HACKWORTHCredential: MA, LPC, LLP
Location Address37 E MAIN ST STE GFremont, MI 49412-1295
Mailing Address7322 Rolling RdNewaygo, MI 49337-8702 · (231) 233-1097 · Fax (269) 224-9115
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 19, 2016
Last NPPES UpdateMay 30, 20233 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
NPI 1265980395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MI · 6401017843
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 6301016876 (MI)
37 E MAIN ST STE G, Fremont, MI 49412

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7517318090
PECOS Enrollment IDI20240109002898
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
37 E MAIN ST STE G
FREMONT, MI 49412

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.

What insurance does Kevin Hackworth accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Health Maintenance Organization of Florida, 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.