Active NPI
Hannah Armbrust, PHD., LMHC
- Mental Health Counselor
- Bloomington, IN
National Provider Identifier
1174295141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39004788A
- Practice address
- 1505 S Arbors LN
Bloomington, IN 47401-7109 - Phone
- (812) 369-0412
- NPI assigned
- Sep 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | |||
| Mental Health Counselor | 101YM0800X | 39004788A | IN | Primary |
Addresses
Primary practice location
1505 S Arbors LN
Bloomington, IN 47401-7109
Mailing address
1505 S Arbors LN
Bloomington, IN 47401-7109
Phone (812) 369-0412
Other names 1
- Hannah Hennebert
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- 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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39004788A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Soul Insight Counseling Services | Current | Accepting new patients |
Locations
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bloomington, IN
- NPI 1093583122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1174295141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 S ARBORS LN",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474017109",
"telephone_number": "812-369-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 S ARBORS LN",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474017109",
"telephone_number": "812-369-0412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMBRUST",
"first_name": "HANNAH",
"name_prefix": "Dr.",
"credential": "PHD., LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-29",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39004788A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "HENNEBERT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.