Individual provider Active NPI

Ginger Hannigan, MA LMHC PA

  • Mental Health Counselor
  • Saint Petersburg, FL
National Provider Identifier
1164638607
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH6698 Issued in FL
Practice address
7301 1St Ave S
Saint Petersburg, FL 33707-1103
Phone
(727) 424-6199
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X
Developmental Therapist 222Q00000X
Community/Behavioral Health Agency 251S00000X
Early Intervention Provider Agency 252Y00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Mental Health Counselor 101YM0800X MH6698 FL Primary

Addresses

Primary practice location

7301 1St Ave S
Saint Petersburg, FL 33707-1103

Mailing address

145 108TH Ave Ste 4
Treasure Is, FL 33706-4747
Phone (727) 424-6199

Other practice location 1

145 108th Ave Ste 4
Treasure Island, FL 33706-4747
Phone (727) 424-6199

Other identifiers 1

IdentifierTypeStateIssuer
0197221100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260331001682 FL Practitioner - Mental Health Counselor 1052896735 Reassigns benefits to 1 organization
I20260415002365 NC Practitioner - Mental Health Counselor 1052896735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
MH6698FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ginger Hannigan Ma LMHC PA Mental Health CurrentSince Nov 28, 2021 Accepting new patients

Locations

7301 1st Ave S
Saint Petersburg, FL 33707
Phone (727) 424-6199

145 108th Ave
Ste 4
Treasure Island, FL 33706
Phone (727) 360-4134

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1164638607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 108TH AVE STE 4",
            "city": "TREASURE IS",
            "state": "FL",
            "postal_code": "337064747",
            "telephone_number": "727-424-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 1ST AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337071103",
            "telephone_number": "727-424-6199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 108th Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Treasure Island",
            "state": "FL",
            "postal_code": "337064747",
            "country_code": "US",
            "telephone_number": "727-424-6199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNIGAN",
        "first_name": "GINGER",
        "credential": "MA LMHC PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197221100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.