HATHCOCK COUNSELING, LLC
NPI 1801625264
Counselor - Mental Health in St Johns, FL
About Hathcock Counseling, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HATHCOCK COUNSELING, LLC (NPI 1801625264) is a healthcare organization registered as a mental health in St Johns, Florida and active in the NPI registry since August 2024. The organization lists Kared M Dixon Hathcock, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hathcock Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Hathcock Counseling, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Hathcock Counseling, LLC's NPI number?
The NPI number for Hathcock Counseling, LLC is 1801625264. It was assigned to this organization in the NPPES registry on August 1, 2024.
Where is Hathcock Counseling, LLC located?
Hathcock Counseling, LLC is located at 178 Worthington Pkwy, St Johns, FL 32259. The listed phone number is (904) 314-3380.
What is Hathcock Counseling, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Hathcock Counseling, LLC enrolled in Medicare?
Yes. Hathcock Counseling, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hathcock Counseling, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Hathcock Counseling, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Hathcock Counseling, LLC was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Hathcock Counseling, Llc · NPI 1801625264
Mental Health organization in St Johns, Florida. Organization record, active in the CMS NPPES registry since August 1, 2024.
## Identity
- **NPI:** 1801625264 (Entity type: Organization)
- **Enumerated:** August 1, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Kared Dixon Hathcock, OWNER
## Practice location
- **Address:** 178 WORTHINGTON PKWY, St Johns, FL 32259-6916
- **Phone:** (904) 314-3380 · **Fax:** (904) 314-3380
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1801625264) · Data from the CMS NPPES public registry.