Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin I Hathaway, MHC

Individual provider Mental Health Counselor · NPI 1508129388

Kevin I Hathaway, MHC is a Mental Health Counselor in Providence, Rhode Island. Qualified in 2010, 16 years ago. Practices with Gateway Healthcare Inc, a 64-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
16
Licensed in
RI
In the registry since
2012
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Practice location Address checks out

10 Park Row W Apt 635
Providence, RI 02903-1182
Phone: (401) 261-3733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MHC00531 (RI)

Record details

NPI number1508129388
Entity typeIndividual (Type 1)
GenderMale
Credentials MHC
Sole proprietorYes
NPI enumeratedJune 18, 2012
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Gateway Healthcare Inc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence