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NICOLE HAWTHORNE LMFT
NPI 1366791303
Marriage & Family Therapist in Waterford, NY

Active since September 06, 2012PECOS Enrolled
125 MIDDLETOWN RD, WATERFORD, NY 12188(518) 587-8008(518) 587-8241 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Hawthorne Lmft NPPES

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

NICOLE HAWTHORNE LMFT (NPI 1366791303) is an individual marriage & family therapist in Waterford, New York, licensed in New York (001997) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saratoga Springs, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1366791303
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNICOLE HAWTHORNECredential: LMFT
Location Address125 MIDDLETOWN RDWaterford, NY 12188-1516
Mailing Address359 Ballston AveSaratoga Springs, NY 12866-4723 · (518) 587-8008 · Fax (518) 587-8241
Phone(518) 587-8008
Fax(518) 587-8241
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 6, 2012
Last NPPES UpdateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
✔ NPI 1366791303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in NY · 001997
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
125 MIDDLETOWN RD, Waterford, NY 12188
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Other Names 1

Other Name (5)Nicole Hallenbeck

Secondary Practice Location 1

Location 1359 Ballston AveSaratoga Springs, NY 12866-4723 · Phone (518) 587-8008 · Fax (518) 587-8241

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Hawthorne Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931690914
PECOS Enrollment IDI20251118001812
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 Nicole Hawthorne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saratoga Center For The Family
18 mi
Mental Health
359 BALLSTON AVE
Saratoga Springs, NY 12866
  • Reassigned Medicare billing, New York enrollment
  • 29 clinicians in this Medicare group
NPI 1114061298 (518) 587-8008

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 9

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

MRS. MARY ELIZABETH ZINK NY229435-1
Registered Nurse
125 MIDDLETOWN RD
WATERFORD, NY 12188
Saratoga County (518) 237-0800
MS. LOIS JEAN POTRZUSKI SLP
Speech-Language Pathologist
125 MIDDLETOWN RD
WATERFORD, NY 12188
Saratoga County (518) 237-0800
BARBARA JUDE DELANEY R.N.
Registered Nurse (School)
125 MIDDLETOWN RD
WATERFORD, NY 12188
Saratoga County (518) 237-0800
ALYSSA LYDIA LITVAITIS OTR/L
Occupational Therapist (Pediatrics)
125 MIDDLETOWN RD
WATERFORD, NY 12188
Saratoga County (518) 280-4214
MRS. BRANDY GAGLIARDI R.N.
Registered Nurse (School)
125 MIDDLETOWN RD
WATERFORD, NY 12188
Saratoga County (518) 237-0800
BARBARA SMITH
Social Worker (Clinical)
125 MIDDLETOWN RD
WATERFORD, NY 12188
Saratoga County (518) 237-0800
WATERFORD-HALFMOON UFSD
Local Education Agency (LEA)
125 MIDDLETOWN RD
WATERFORD, NY 12188
Saratoga County (518) 237-0800
JOSEY ALAINE EVANOVICH LCSW
Social Worker (Clinical)
125 MIDDLETOWN RD
WATERFORD, NY 12188
Saratoga County (518) 237-0800

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 Nicole Hawthorne's NPI number?

The NPI number for Nicole Hawthorne is 1366791303. It was assigned to this individual provider in the NPPES registry on September 6, 2012. The provider is also known as Nicole Hallenbeck.

Where is Nicole Hawthorne located?

Nicole Hawthorne practices at 125 Middletown Rd, Waterford, NY 12188. The listed phone number is (518) 587-8008.

What is Nicole Hawthorne's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Nicole Hawthorne enrolled in Medicare?

Yes. Nicole Hawthorne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Hawthorne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Hawthorne reassigns Medicare benefits to Saratoga Center For The Family (Saratoga Springs, NY). 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 Nicole Hawthorne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Hawthorne was last updated on July 31, 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.