Hannah Kristen Cloninger, CPC-I, CADC-I, NCC
Individual provider Active NPI Professional Counselor · Las Vegas, NV
NPI 1104700590 · NPPES record last updated Jul 31, 2025
Key facts
- NPI
- 1104700590
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CI5572 (NV)
- Practice address
- 2860 S Bronco St
Las Vegas, NV 89146-5208 - Phone
- (702) 673-1489
- NPI assigned
- Jul 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08032-I | NV | MD | Addiction (Substance Use Disorder) Counselor |
| CI5572 | NV | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 08032-I | NV | |
| Professional Counselor | 101YP2500X | CI5572 | NV | Yes |
Addresses
Primary practice location
2860 S Bronco St
Las Vegas, NV 89146-5208
Mailing address
2251 N Rampart Blvd
Las Vegas, NV 89128-7640
Phone (702) 305-6795
Other providers in Las Vegas, NV
- Nancy K Clinton
- Robert Clinton
- Andrea Clipper
- Oshmine Clisby
- Chantal Desire'E Cloninger
- Dillan Clontz
- Torrie Patrice Clontz
- Eileen June Cloonan
- Close Physical Therapy
- Jack D Close
All providers in Las Vegas, NV · Professional Counselor in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.