Individual provider Active NPI

Hannah Shae Haedike-Swift, MA

  • Mental Health Counselor
  • Oak Grove, MO
National Provider Identifier
1386410876
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.2026041619 Issued in MO
Practice address
1307 NE Sequoia CT
Oak Grove, MO 64075-5501
Phone
(636) 577-9819
NPI assigned
Nov 27, 2023
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.2026041619 MO Primary

Addresses

Primary practice location

1307 NE Sequoia CT
Oak Grove, MO 64075-5501

Mailing address

1307 NE Sequoia CT
Oak Grove, MO 64075-5501
Phone (636) 577-9819

Other practice location 1

856 Waterbury Falls Dr Ste 102
O Fallon, MO 63368-2219
Phone (636) 344-0433

Other names 1

  • Hannah Shae Swift Other name

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 Arts

State licenses

LicenseStateTypeSpecialty
LPCC.0021459COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Light of the Rockies Christian Counseling Center CurrentSince Dec 3, 2023 Accepting new patients

Locations

375 E Horsetooth Rd
Bldg 2101
Fort Collins, CO 80525
Phone (970) 484-1735

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": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1386410876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 NE SEQUOIA CT",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640755501",
            "telephone_number": "636-577-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 NE SEQUOIA CT",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640755501",
            "telephone_number": "636-577-9819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "856 Waterbury Falls Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633682219",
            "country_code": "US",
            "telephone_number": "636-344-0433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAEDIKE-SWIFT",
        "first_name": "HANNAH",
        "middle_name": "SHAE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "LPC.2026041619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "SWIFT",
            "middle_name": "SHAE",
            "credential": "MA, NCC, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oak Grove, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.