Hannah Mary Vestal, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1818 SE Division St
Portland, OR 97202

Phone

(503) 963-7613

NPI assigned

May 29, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tall Pines Behavioral Health LLCGroup PAC ID 8123554904, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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

• Tall Pines Behavioral Health LLC

  • Health Service Psychologist
  • Wausau, WI
  • NPI 1215519764

  Mental Health, WI

  Medicare reassignment Care Compare group NPD
• Cambridge Psychiatric Services, Inc

  • Addiction Psychiatry Physician
  • Cambridge, MA
  • NPI 1851055784
  NPD (past)
• North Charles Mental Health Research & Training Foundation, Inc

  • Psychologist
  • Cambridge, MA
  • NPI 1356411862

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1154988871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8459",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972078459",
            "telephone_number": "617-661-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97202",
            "telephone_number": "503-963-7613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 Washburn Ave",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021401128",
            "country_code": "US",
            "telephone_number": "617-661-5700 x112",
            "fax_number": "617-868-4840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 SE Division St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97202",
            "country_code": "US",
            "telephone_number": "503-963-7613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VESTAL",
        "first_name": "HANNAH",
        "middle_name": "MARY",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Ventura Verzosa, M.D.
• Karyn Verzwyvelt, LMT
• Abigail Vese, APRN
• Lisa Lynn Vesely
• Robin Katherine Vest
• Anne F Vestergaard, MD
• Veterans Administration Hospital
• Veterans Hospital
• Corey Vetiver
• Sara Jannette Vetiver

• All providers in Portland, OR
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.