Kerri Eileen Hanlon, MA LPC CADC III MAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C1852 Issued in OR

Practice address

731 NW Franklin Ave Ste 107
Bend, OR 97701-2752

Phone

(541) 306-1128

NPI assigned

Sep 14, 2007

Last updated

Feb 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 1, 2024 through Nov 1, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Cascade Counseling Services LLC

  • Professional Counselor
  • Bend, OR
  • NPI 1306298757
  NPD (past) Authorized official

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1114113974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 NW FRANKLIN AVE STE 107",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012752",
            "telephone_number": "541-306-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 NW FRANKLIN AVE STE 107",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012752",
            "telephone_number": "541-306-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLON",
        "first_name": "KERRI",
        "middle_name": "EILEEN",
        "credential": "MA LPC CADC III MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "06-07-72",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "507243",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C1852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanger Prosthetics & Orthotics Inc (Oregon Orthopedic)
• Kenneth R. Hanington, M.D.
• Roxanne Marie Hanington, NP
• Elizabeth Hanley Szabo
• John Timothy Hanlon, M.D.
• Guitar Hanna, D.O.
• Hannah Hogan Herbs and Acupuncture
• Hannah Wadsworth LLC
• Pamela Hannon
• Hansen Counseling LTD

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.