Amal Hassan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17584 Issued in FL

Practice address

6710 Winkler Rd Ste 7
Fort Myers, FL 33919-7274

Phone

(239) 565-3040

NPI assigned

Jan 30, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: thrivinglanellc.amalhassan@149897.advancedmd-direct.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1093421448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 REFLECTION LAKES DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071811",
            "telephone_number": "239-565-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 WINKLER RD STE 7",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197274",
            "telephone_number": "239-565-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14201 Reflection Lakes Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339071811",
            "country_code": "US",
            "telephone_number": "239-565-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "AMAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Hartwell, OT
• Cortlon Hartz
• William N. Harwin, M.D.
• Danielle Haskins, M.D.
• Ahmed A. Hassan, M.D.
• Hesham Hassan, M.D
• Eihab Omar Hassanein, MD
• Joy Hasseman, PA
• Megan Hastings
• Britteny Hathaway, R.B.T

• Mental Health Counselor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.