Individual provider Active NPI

Cassandra Sue Hanna, LMSW, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Stephenville, TX
National Provider Identifier
1306116967
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11569 Issued in TX
Practice address
239 S Virginia St
Stephenville, TX 76401-4344
Phone
(254) 965-5515
Fax
(254) 965-7416
NPI assigned
Jan 12, 2012
Last updated
Jan 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11569 TX Primary
Social Worker 104100000X 39487 TX

Addresses

Primary practice location

239 S Virginia St
Stephenville, TX 76401-4344

Mailing address

239 S Virginia St
Stephenville, TX 76401-4344
Phone (254) 965-5515

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
39487TXMDSocial Worker
11569TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Star Council on Substance Abuse Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1306116967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 S VIRGINIA ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764014344",
            "telephone_number": "254-965-5515",
            "fax_number": "254-965-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 S VIRGINIA ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764014344",
            "telephone_number": "254-965-5515",
            "fax_number": "254-965-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "CASSANDRA",
        "middle_name": "SUE",
        "credential": "LMSW, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11569",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "39487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.