Active NPI
Hannah Marie Corcoran, LGPC
- Professional Counselor
- Cumberland, MD
National Provider Identifier
1497009088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP4659
- Practice address
- 500 Memorial Ave
Suite M304
Cumberland, MD 21502-3732 - Phone
- (240) 580-1919
- Fax
- (443) 276-6712
- NPI assigned
- Nov 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP4659 | MD | Primary |
Addresses
Primary practice location
500 Memorial Ave
Suite M304
Cumberland, MD 21502-3732
Mailing address
500 Memorial Ave
Suite M304
Cumberland, MD 21502-3732
Phone (240) 580-1919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1009 N Georgetown St
Round Rock, TX 78664-3289
Phone (512) 255-1720
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP4659 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluebonnet Trails Community MHMR Center | Current | Accepting new patients | |
| Bluebonnet Trails Community MHMR Center | Professional | Current | Accepting new patients |
Locations
1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Round Rock, TX
- NPI 1730135864
Professional
-
- Rural Health Clinic/Center
- La Grange, TX
- NPI 1518536309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351900800000",
"number": "1497009088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MEMORIAL AVE",
"address_2": "SUITE M304",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215023732",
"telephone_number": "240-580-1919",
"fax_number": "443-276-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MEMORIAL AVE",
"address_2": "SUITE M304",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215023732",
"telephone_number": "240-580-1919",
"fax_number": "443-276-6712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORCORAN",
"first_name": "HANNAH",
"middle_name": "MARIE",
"credential": "LGPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-03",
"last_updated": "2012-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP4659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.