Individual provider Active NPI

Katelin Hanhart

  • Mental Health Counselor
  • Oceanside, CA
National Provider Identifier
1255791968
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
92638 Issued in CA
Practice address
3784 Mission Ave
Oceanside, CA 92058-1460
Phone
(760) 994-4600
NPI assigned
Feb 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05665400 NJ
Mental Health Counselor 101YM0800X 92638 CA Primary

Addresses

Primary practice location

3784 Mission Ave
Oceanside, CA 92058-1460

Mailing address

32169 Corte Sabrinas
Temecula, CA 92592-1243
Phone (732) 688-7130

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
44SC05665400NJMDClinical Social Worker
92638CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Katelin Hanhart Licensed Clinical Social Worker PC Mental Health CurrentSince Mar 22, 2020 Accepting new patients
Living Well Counseling Center LLC Clinical Past Accepting new patients

Organizations & group practices 2

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": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1255791968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32169 CORTE SABRINAS",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925921243",
            "telephone_number": "732-688-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3784 MISSION AVE",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581460",
            "telephone_number": "760-994-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANHART",
        "first_name": "KATELIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05665400",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "92638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.