Individual provider Active NPI

Shelly Jean Hahne, BS

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1508900077
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2221 Camino del Rio S Ste 105
San Diego, CA 92108-3609
Phone
(619) 220-0421
Fax
(619) 296-5106
NPI assigned
Feb 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 Primary

Addresses

Primary practice location

2221 Camino del Rio S Ste 105
San Diego, CA 92108-3609

Mailing address

3859 Midway Dr Apt 201
San Diego, CA 92110-5223
Phone (619) 220-0421

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
Bachelor of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508900077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3859 MIDWAY DR APT 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105223",
            "telephone_number": "619-220-0421",
            "fax_number": "619-296-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 CAMINO DEL RIO S STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083609",
            "telephone_number": "619-220-0421",
            "fax_number": "619-296-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHNE",
        "first_name": "SHELLY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.