Active NPI
Gail Denise Hanna, LCASA
- Addiction (Substance Use Disorder) Counselor
- Pembroke, NC
National Provider Identifier
1235338666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2564-A
- Practice address
- 201 Livermore Dr
2ND Floor
Pembroke, NC 28372-7322 - Phone
- (910) 272-6420
- Fax
- (910) 521-4630
- NPI assigned
- Jul 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2564-A | NC | Primary |
Addresses
Primary practice location
201 Livermore Dr
2ND Floor
Pembroke, NC 28372-7322
Mailing address
115 Pembroke Pointe LN
3C
Pembroke, NC 28372-7359
Phone (919) 561-2204
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2564-A | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349654400000",
"number": "1235338666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 PEMBROKE POINTE LN",
"address_2": "3C",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283727359",
"telephone_number": "919-561-2204",
"fax_number": "919-561-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 LIVERMORE DR",
"address_2": "2ND FLOOR",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283727322",
"telephone_number": "910-272-6420",
"fax_number": "910-521-4630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "GAIL",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "LCASA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2012-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "2564-A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke, NC
- Brittany Nichole Gray, PMHNP-BC
- George Demaris Gressman III, PSY.D.
- Stacey Tywanna Hailey
- Debbie Hammonds Chavis, PHYSICAL THERAPIST
- Mallory Shania Haney
- Harrington Assisted Living
- Harrington Assisted Living # 10
- Harrington Assisted Living # 11
- Harrington Assisted Living # 2
- Harrington Assisted Living # 4
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.