JOHN DAVID HATTAWAY LPC
NPI 1447875059
Counselor - Professional in Salmon, ID

Active since June 09, 2020PECOS EnrolledAccepts Medicare Assignment
1301 MAIN ST STE 3B, SALMON, ID 83467(208) 756-2927(208) 756-1518 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Jun 9, 2020 (2 updates tracked since 2020).

About John David Hattaway Lpc NPPES

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

JOHN DAVID HATTAWAY LPC (NPI 1447875059) is an individual professional provider in Salmon, Idaho, licensed in Idaho (LPC-2798) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1447875059
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHN DAVID HATTAWAYCredential: LPC
Location Address1301 MAIN ST STE 3BSalmon, ID 83467-4452
Mailing Address1380 Benton StIdaho Falls, ID 83401-4201 · (208) 523-2490 · Fax (208) 522-2603
Fax(208) 756-1518
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 9, 2020
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
NPI 1447875059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in ID · LPC-2798
1301 MAIN ST STE 3B, Salmon, ID 83467

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

John David Hattaway Lpc 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 ID1850730755
PECOS Enrollment IDI20240411001817
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 8

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

Social Worker (Clinical)
1301 MAIN ST STE 3B
SALMON, ID 83467
Social Worker
1301 MAIN ST STE 3B
SALMON, ID 83467
Counselor (Professional)
1301 MAIN ST STE 3B
SALMON, ID 83467
Social Worker (Clinical)
1301 MAIN ST STE 3B
SALMON, ID 83467
Social Worker
1301 MAIN ST STE 3B
SALMON, ID 83467
Counselor (Professional)
1301 MAIN ST STE 3B
SALMON, ID 83467
Social Worker (Clinical)
1301 MAIN ST STE 3B
SALMON, ID 83467
Social Worker
1301 MAIN ST STE 3B
SALMON, ID 83467

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 John Hattaway's NPI number?

The NPI number for John Hattaway is 1447875059. It was assigned to this individual provider in the NPPES registry on June 9, 2020.

Where is John Hattaway located?

John Hattaway practices at 1301 Main St Ste 3B, Salmon, ID 83467. The listed phone number is (208) 756-2927.

What is John Hattaway's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is John Hattaway enrolled in Medicare?

Yes. John Hattaway 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 John Hattaway accept?

Health plans from Providence Health Plan list John Hattaway 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 John Hattaway was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.