Individual provider Active NPI

Heidi Renee Hanes, LCPC, LCADC

  • Professional Counselor
  • Annapolis, MD
National Provider Identifier
1346640323
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC4573 Issued in MD
Practice address
2620 Riva Rd
Annapolis, MD 21401-7305
Phone
(410) 573-5423
Fax
(410) 573-5401
NPI assigned
Aug 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC4573 MD Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCA1992 MD

Addresses

Primary practice location

2620 Riva Rd
Annapolis, MD 21401-7305

Mailing address

7195 Ohio Ave
Hanover, MD 21076-1128
Phone (410) 852-0733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120003135 MD Practitioner - Mental Health Counselor 7214462704 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCA1992MDMDAddiction (Substance Use Disorder) Counselor
LC4573MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Aug 23, 2024 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Aug 23, 2024 Accepting new patients

Locations

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2620 Riva Rd
Annapolis, MD 21401
Phone (410) 573-5454

Organizations & group practices 3

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": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1346640323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7195 OHIO AVE",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761128",
            "telephone_number": "410-852-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 RIVA RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017305",
            "telephone_number": "410-573-5423",
            "fax_number": "410-573-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANES",
        "first_name": "HEIDI",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCPC, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4573",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA1992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.