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Conida Nicole Hawk , LPCC-S

Counselor - Professional β€’ Independence, OH

Active NPI 1518179506 Individual Practitioner Female Practitioner
Practice location in NPPES

6200 Rockside Woods Blvd N Ste 305
Independence, OH 441312343

Call 2162003675 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6200 Rockside Woods Blvd N Ste 305

Independence, OH 441312343

Telephone 2162003675
Organization at the Same NPPES Address or Phone
Ohio Mentor, Inc. Facility NPI 1861568990

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Independence and Ohio

21 active clinicians are listed under Counselor - Professional with a practice address in Independence, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Independence

4.8% of these 21 clinicians have the CMS telehealth indicator.

14.3% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-20
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E.0500928-SUPV
Counselor

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OH E.0500928

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES OH E.0500928
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ‘€
Provider Name / Credentials Updated January 20, 2026

Recorded as CONIDA HAWK, LPCC-S

πŸ“
Updated Practice Location November 11, 2019

Registered at 6200 ROCKSIDE WOODS BLVD N STE 305, INDEPENDENCE, OH 441312343 (Tel: 2162003675)

πŸ“
Updated Business Mailing Address November 11, 2019

Registered at 4761 BURGER RD, SOUTH EUCLID, OH 441213830 (Tel: 2162003675)

βœ…
NPI Profile Active July 29, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 29, 2010

Registered at 2460 FAIRMOUNT BLVD STE 315, CLEVELAND HTS, OH 441063164 (Tel: 2163552951)

πŸ“
Business Mailing Address (Initial Record) July 29, 2010

Registered at 806 EDDY RD, CLEVELAND, OH 441082342 (Tel: 2163552951)

πŸ‘€
Provider Name / Credentials (Initial Record) July 29, 2010

Recorded as CONIDA HAWK, PCC-S

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2010

Counselor (license number reported to NPPES: OH E.0500928)

🟒
Initial NPI Registration & Enumeration May 04, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1518179506
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2007
Last Update: January 20, 2026
Sole Proprietor: Yes

Mailing Address

4761 Burger Rd

South Euclid, OH 441213830

Phone: 2162003675

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.