Individual provider Active NPI

Hanna Rachel Kleiner, MA NCC LPC-MHSP

  • Professional Counselor
  • Costa Mesa, CA
National Provider Identifier
1437554029
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3236 Issued in TN
Practice address
1550 Superior Ave
Costa Mesa, CA 92627-3778
Phone
(949) 270-2100
Fax
(949) 650-4458
NPI assigned
Oct 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3236 TN Primary

Addresses

Primary practice location

1550 Superior Ave
Costa Mesa, CA 92627-3778

Mailing address

20151 SW Birch St Ste 100
Newport Beach, CA 92660-1794
Phone (949) 270-2100

Other identifiers 1

IdentifierTypeStateIssuer
Q019102MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • 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
I20231213003493 CA Practitioner - Mental Health Counselor 8527417740 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3236TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Share Our Selves Corporation Current Accepting new patients
Share Our Selves Corporation Current Accepting new patients
Share Our Selves Corporation CurrentSince Jan 1, 2024 Accepting new patients
Share Our Selves Corporation CurrentSince Jan 1, 2024 Accepting new patients

Locations

1550 Superior Ave
Costa Mesa, CA 92627
Phone (949) 650-0186

20151 SW Birch St
Ste 100
Newport Beach, CA 92660

307 Placentia Ave
Ste 107
Newport Beach, CA 92663
Phone (949) 270-2153

Organizations & group practices 4

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": "1414281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1437554029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20151 SW BIRCH ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601794",
            "telephone_number": "949-270-2100",
            "fax_number": "949-650-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 SUPERIOR AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273778",
            "telephone_number": "949-270-2100",
            "fax_number": "949-650-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINER",
        "first_name": "HANNA",
        "middle_name": "RACHEL",
        "credential": "MA NCC LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-26",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q019102",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.