MR. KEVIN L HACKWORTH (MA, LPC, LLP) – Mental Health Counselor, NPI 1265980395
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,023 MENTAL HEALTH COUNSELOR in MI
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Provider Addresses for MR. KEVIN L HACKWORTH (MA, LPC, LLP)
227 N 28TH AVE
MEARS, MI 494369639
Phone: (231) 233-1097
Fax: (269) 224-9115
Type: Mailing
800, East Ellis Road, Norton Shores, Muskegon County, Michigan, 49441, United States
NORTON SHORES, MI 494415646
Phone: (231) 233-1097
Fax: (269) 224-9115
Type: Location
7322 ROLLING RD
NEWAYGO, MI 493378702
Phone: (231) 233-1097
Fax: (269) 224-9115
Type: Mailing
37 E MAIN ST STE G
FREMONT, MI 494121295
Phone: (231) 233-1097
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240109002898 | I | Mental Health Counselor | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49436)
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