Active NPI
Max Anna Hanna, M.ED. LPC, LADC
- Addiction (Substance Use Disorder) Counselor
- Edmond, OK
National Provider Identifier
1285252304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 162
- Practice address
- 2600 W. Coffee Creek Rd
Edmond, OK 73025 - Phone
- (405) 208-1973
- NPI assigned
- Jul 7, 2020
- Last updated
- Jul 7, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 162 | OK | Primary |
| Mental Health Counselor | 101YM0800X | 1544 | OK |
Addresses
Primary practice location
2600 W. Coffee Creek Rd
Edmond, OK 73025
Mailing address
2600 W. Coffee Creek Rd
Edmond, OK 73025
Phone (405) 208-1973
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1544 | OK | MD | Mental Health Counselor |
| 162 | OK | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1285252304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 W. COFFEE CREEK RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "73025",
"telephone_number": "405-208-1973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 W. COFFEE CREEK RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "73025",
"telephone_number": "405-208-1973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "MAX ANNA",
"name_prefix": "Mrs.",
"credential": "M.ED. LPC, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-07",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "162",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "1544",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.