Individual provider Active NPI

Mary Hanafee, M.S. LPC CANDIDATE

  • Professional Counselor
  • Tahlequah, OK
National Provider Identifier
1275399149
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1140 Mayberry Dr
Tahlequah, OK 74464-4603
Phone
(918) 453-1108
Fax
(918) 453-2019
NPI assigned
Feb 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X OK Primary

Addresses

Primary practice location

1140 Mayberry Dr
Tahlequah, OK 74464-4603

Mailing address

1140 Mayberry Dr
Tahlequah, OK 74464-4603
Phone (918) 453-1108

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Professional Counseling LLC Current Accepting new patients

Locations

1140 Mayberry Dr
Tahlequah, OK 74464
Phone (918) 453-1108

Organizations & group practices 1

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": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1275399149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 MAYBERRY DR",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644603",
            "telephone_number": "918-453-1108",
            "fax_number": "918-453-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 MAYBERRY DR",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644603",
            "telephone_number": "918-453-1108",
            "fax_number": "918-453-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAFEE",
        "first_name": "MARY",
        "credential": "M.S. LPC CANDIDATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.