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PHILLIP HATHAWAY LMSW
NPI 1316507296
Social Worker - Clinical in Rexburg, ID

Active since June 13, 2019PECOS EnrolledAccepts Medicare Assignment
253 S 2ND E BSMT, REXBURG, ID 83440(253) 232-3957 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Phillip Hathaway Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP HATHAWAY LMSW (NPI 1316507296) is an individual clinical provider in Rexburg, Idaho, licensed in Idaho (LMSW-38731) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1316507296
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NamePHILLIP HATHAWAYCredential: LMSW
Location Address253 S 2ND E BSMTRexburg, ID 83440-2202
Mailing Address253 S 2nd E BsmtRexburg, ID 83440-2202 · (253) 232-3957
Phone(253) 232-3957
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 13, 2019
✔ NPI 1316507296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ID · LMSW-38731
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
253 S 2ND E BSMT, Rexburg, ID 83440
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.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

Phillip Hathaway Lmsw 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 ID4284003757
PECOS Enrollment IDI20221206002256
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.

Medicare Billing Reassignment

Medicare enrollment records show Phillip Hathaway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tueller Counseling Inc
27 mi
Mental Health (Including Community Mental Health Center)
2265 W BROADWAY ST
Idaho Falls, ID 83402
  • Reassigned Medicare billing, Idaho enrollment
  • 23 clinicians in this Medicare group
NPI 1477766905 (208) 524-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
94 services13 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Phillip Hathaway's NPI number?

The NPI number for Phillip Hathaway is 1316507296. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Phillip Hathaway located?

Phillip Hathaway practices at 253 S 2nd E Bsmt, Rexburg, ID 83440. The listed phone number is (253) 232-3957.

What is Phillip Hathaway's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Phillip Hathaway enrolled in Medicare?

Yes. Phillip Hathaway 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 Phillip Hathaway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Hathaway reassigns Medicare benefits to Tueller Counseling Inc (Idaho Falls, ID). 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 Phillip Hathaway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phillip Hathaway accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health and 1 other insurer list Phillip Hathaway 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 Phillip Hathaway was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.