Individual provider Active NPI

Caroline Ezzat Mounir Hanna, MFT

  • Marriage & Family Therapist
  • Aliso Viejo, CA
National Provider Identifier
1427650506
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
143838 Issued in CA
Practice address
5 Mareblu
Aliso Viejo, CA 92656-3014
Phone
(949) 643-6941
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 143838 CA Primary

Addresses

Primary practice location

5 Mareblu
Aliso Viejo, CA 92656-3014

Mailing address

118 Encantado Cyn
Rancho Santa Margarita, CA 92688-4973
Phone (714) 829-9592

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
143838CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hidden Strength Behavioral Health, Inc. Marriage & Family Therapist PastSince Nov 1, 2020 Accepting new patients
Hidden Strength Behavioral Health, Inc. Marriage & Family Therapist PastSince Jul 25, 2021 Accepting new patients

Organizations & group practices 2

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": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1427650506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 ENCANTADO CYN",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926884973",
            "telephone_number": "714-829-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MAREBLU",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563014",
            "telephone_number": "949-643-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "CAROLINE",
        "middle_name": "EZZAT MOUNIR",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "143838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.