Michael Joseph Hanafin Jr., LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

16444 Issued in AZ

Practice address

15455 N Greenway Hayden Loop Ste C9
Scottsdale, AZ 85260-1887

Phone

(480) 681-4322

Fax

(480) 447-9564

NPI assigned

Apr 26, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1235627019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 N GREENWAY HAYDEN LOOP STE C9",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601887",
            "telephone_number": "480-681-4322",
            "fax_number": "480-447-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 N GREENWAY HAYDEN LOOP STE C9",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601887",
            "telephone_number": "480-681-4322",
            "fax_number": "480-447-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAFIN",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "AZ",
            "license": "16444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.