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

Mr. Kevin L Hackworth, MA, LPC, LLP

Individual provider Clinical Psychologist · NPI 1265980395

Mr. Kevin L Hackworth, MA, LPC, LLP is a Mental Health Counselor in Fremont, Michigan. Qualified in 2016, 10 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

37 E Main St Ste G
Fremont, MI 49412-1295
Phone: (231) 233-1097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6401017843 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301016876 (MI)

Record details

NPI number1265980395
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPC , LLP
Sole proprietorYes
NPI enumeratedSeptember 19, 2016
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services