Individual provider Active NPI

Hannah Marie Corcoran, LGPC

  • Professional Counselor
  • Cumberland, MD
National Provider Identifier
1497009088
Registry record updated Nov 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LGP4659 Issued in MD
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

Updated by the provider on Nov 3, 2012

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206000174 TX Practitioner - Mental Health Counselor 8426407263 Reassigns benefits to 1 organization

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
Bluebonnet Trails Community MHMR CenterGroup PAC ID 5799775409, 59 clinicians

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

LicenseStateTypeSpecialty
LGP4659MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebonnet Trails Community MHMR Center CurrentSince Jan 1, 2024 Accepting new patients
Bluebonnet Trails Community MHMR Center Professional CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.