Individual provider Active NPI

Alyssa Hanna, LMHC

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1225422884
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17101 Issued in FL
Practice address
2400 W Yamato Rd
Boca Raton, FL 33431-8403
Phone
(954) 715-0261
NPI assigned
Mar 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Mental Health Counselor 101YM0800X MH17101 FL Primary

Addresses

Primary practice location

2400 W Yamato Rd
Boca Raton, FL 33431-8403

Mailing address

2400 W Yamato Rd
Boca Raton, FL 33431-8403
Phone (954) 715-0261

Other practice location 1

6400 W Boynton Beach Blvd
Suite #741236
Boynton Beach, FL 33437-3506
Phone (800) 686-5614

Other identifiers 1

IdentifierTypeStateIssuer
14572075MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahanna@spanishriver.com Direct

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

State licenses

LicenseStateTypeSpecialty
MH17101FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spanish River Church PastSince Nov 10, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1225422884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W YAMATO RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318403",
            "telephone_number": "954-715-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W YAMATO RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318403",
            "telephone_number": "954-715-0261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 W Boynton Beach Blvd",
            "address_2": "Suite #741236",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373506",
            "country_code": "US",
            "telephone_number": "800-686-5614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "ALYSSA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-22",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14572075",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahanna@spanishriver.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2400 W Yamato Rd",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334318403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.