Mitzi Hacker
Counselor • Grants Pass, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mitzi Hacker has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Mitzi Hacker was a registered Counselor practicing in Grants Pass, OR. Throughout an active medical career spanning 6 years, Mitzi Hacker provided care at the practice location at 715 SW RAMSEY AVE until profile deactivation on 2023-12-13.
Practice Location & Contact Primary Location
715 Sw Ramsey Ave
Grants Pass, OR 975275500
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Grants Pass, OR
Practicing in Grants Pass, OR (4551 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor
Counselor
Counselor - Mental Health
Counselor - Mental Health
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent
Registered Nurse, Bachelor of Science in Nursing
Counselor - Mental Health
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 13, 2023
NPI status registered as active in NPPES database
Registered at 715 SW RAMSEY AVE, GRANTS PASS, OR 975275500 (Tel: 5419564943)
Registered at 1750 NEBRASKA AVE, GRANTS PASS, OR 975275700
Recorded as MITZI HACKER
Counselor
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
1750 Nebraska Ave
Grants Pass, OR 975275700
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