Individual provider Active NPI

Hannah Makant Jeanfreau

  • Professional Counselor
  • Greenville, SC
National Provider Identifier
1215505771
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9403 Issued in SC
Practice address
68 Pointe Cir Ste 3201
Greenville, SC 29615-6307
Phone
(864) 952-4048
NPI assigned
Jun 11, 2021
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Professional Counselor 101YP2500X 9403 SC Primary

Addresses

Primary practice location

68 Pointe Cir Ste 3201
Greenville, SC 29615-6307

Mailing address

68 Pointe Cir Ste 3201
Greenville, SC 29615-6307
Phone (864) 952-4048

Other practice location 1

124 Mallard St
Greenville, SC 29601-4046
Phone (864) 241-1040 ext. 210

Other identifiers 1

IdentifierTypeStateIssuer
301100MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402002072 SC Practitioner - Mental Health Counselor 1658719273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9403SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reffner Enterprises CurrentSince Jan 8, 2023 Accepting new patients

Locations

68 Pointe Cir
Ste 3201
Greenville, SC 29615
Phone (864) 479-1212

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1215505771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 POINTE CIR STE 3201",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156307",
            "telephone_number": "864-952-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 POINTE CIR STE 3201",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156307",
            "telephone_number": "864-952-4048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Mallard St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296014046",
            "country_code": "US",
            "telephone_number": "864-241-1040 x210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEANFREAU",
        "first_name": "HANNAH",
        "middle_name": "MAKANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "9403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301100",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.