Individual provider Active NPI

Janice Marie Hannah, CAP

  • Addiction (Substance Use Disorder) Counselor
  • Bradenton, FL
National Provider Identifier
1255912895
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CAP100254 Issued in FL
Practice address
203 3Rd Ave E
Bradenton, FL 34208-1013
Phone
(219) 242-9462
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP100254 FL Primary

Addresses

Primary practice location

203 3Rd Ave E
Bradenton, FL 34208-1013

Mailing address

5114 Estates Cir
Sarasota, FL 34243-4925
Phone (219) 242-9462

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.joingroups.com
Other URL www.joingroups.com

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
CAP100254FLMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1255912895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 ESTATES CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342434925",
            "telephone_number": "219-242-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 3RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081013",
            "telephone_number": "219-242-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAH",
        "first_name": "JANICE",
        "middle_name": "MARIE",
        "credential": "CAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP100254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.joingroups.com",
            "affiliation": "N",
            "endpointDescription": "Groups Recovery Together",
            "address_1": "203 3rd Ave E",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342081013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.joingroups.com",
            "affiliation": "N",
            "endpointDescription": "Groups Recovery Together",
            "address_1": "203 3rd Ave E",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342081013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.