Individual provider Active NPI

Cristabel Abi-Hanna, MS, CRC, APCC

  • Professional Counselor
  • San Diego, CA
National Provider Identifier
1215794342
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14034 Issued in CA
Practice address
5555 Reservoir Dr Ste 204
San Diego, CA 92120-5137
Phone
(619) 833-3121
NPI assigned
Mar 5, 2024
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 14034 CA Primary

Addresses

Primary practice location

5555 Reservoir Dr Ste 204
San Diego, CA 92120-5137

Mailing address

5555 Reservoir Dr Ste 204
San Diego, CA 92120-5137
Phone (619) 833-3121

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL securerecords.sanford.html Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
14034CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1215794342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205137",
            "telephone_number": "619-833-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205137",
            "telephone_number": "619-833-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABI-HANNA",
        "first_name": "CRISTABEL",
        "credential": "MS, CRC, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "14034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "endpointDescription": "AWC Secure Records",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5555 Reservoir Dr Ste 204",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921205137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.