MEDICARE: HAWTHORN HOUSE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1366387847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAWTHORN HOUSE PLLC

Provider Business Mailing Address
First Line	:	5925 LOVELL AVE STE B
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-5062
Country	:	US
Telephone Number	:	817-286-3314
Fax Number	:

Provider Business Practice Location Address
First Line	:	5925 LOVELL AVE STE B
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-5062
Country	:	US
Telephone Number	:	817-286-3314
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KACIE HENSON
Credential	:	LPC, NCC
Telephone Number	:	817-286-3314

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

Similar Medicare Providers

1326823139 — ANN LOUISE JAMBOR FNTP, MRWP
Practice Location Address:

5925 LOVELL AVE STE B
FORT WORTH, TX
76107-5062

Practice Phone: 682-499-5603
Practice Fax:

1417990474 — MS. MARY ELIZABETH MCCANN RD,LDN
Practice Location Address:

22 CENTER ST APT E
FORTY FORT, PA
18704-5062

Practice Phone: 570-242-6162
Practice Fax:

1871659987 — JEAN WOO, DDS, P.A.
Practice Location Address:

136 STAFF DR NE # B
FORT WALTON BEACH, FL
32548-5062

Practice Phone: 850-243-7177
Practice Fax: 850-243-4929

1285288373 — HILLARY HUMMEL-KERBS PT, DPT
Practice Location Address:

4750 BRYANT IRVIN RD N
FORT WORTH, TX
76107-7641

Practice Phone: 817-923-9000
Practice Fax:

1891163788 — AUSTIN ALEXANDER PT
Practice Location Address:

3840 HULEN ST STE 100
FORT WORTH, TX
76107-7269

Practice Phone: 817-569-4300
Practice Fax:

1205771128 — FORT WORTH SNORING AND SLEEP CENTER
Practice Location Address:

451 UNIVERSITY DR STE 102
FORT WORTH, TX
76107-2130

Practice Phone: 817-527-8500
Practice Fax:

Directions to “HAWTHORN HOUSE PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.