Individual provider Active NPI

Lawrence David Hanelly, LPC

  • Mental Health Counselor
  • Duncansville, PA
National Provider Identifier
1235292079
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC000280 Issued in PA
Practice address
809 Route 764
Duncansville, PA 16635
Phone
(814) 215-3766
Fax
(814) 949-9345
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LPC000280 PA
Mental Health Counselor 101YM0800X LPC000280 PA
Mental Health Counselor 101YM0800X PC000280 PA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X PC000280 PA

Addresses

Primary practice location

809 Route 764
Duncansville, PA 16635

Mailing address

602 East Fifth Street
Bellwood, PA 16617-2015
Phone (814) 742-1216

Other identifiers 1

IdentifierTypeStateIssuer
0105602MedicaidPA

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
LPC000280PAMDAddiction (Substance Use Disorder) Counselor
PC000280PAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1235292079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 EAST FIFTH STREET",
            "city": "BELLWOOD",
            "state": "PA",
            "postal_code": "166172015",
            "telephone_number": "814-742-1216",
            "fax_number": "814-949-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 ROUTE 764",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "16635",
            "telephone_number": "814-215-3766",
            "fax_number": "814-949-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANELLY",
        "first_name": "LAWRENCE",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "LPC000280",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "LPC000280",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC000280",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PC000280",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0105602",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncansville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.