Active NPI
Aneela Hasan
- Professional Counselor
- Brookhaven, GA
National Provider Identifier
1528658663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC007694
- Practice address
- 3103 Clairmont Rd NE
Brookhaven, GA 30329-1043 - Phone
- (404) 636-1457
- NPI assigned
- Jan 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | APC007694 | GA | Primary |
Addresses
Primary practice location
3103 Clairmont Rd NE
Brookhaven, GA 30329-1043
Mailing address
5013 Village Terrace Dr
Dunwoody, GA 30338-2315
Phone (404) 790-1010
Other practice location 1
5013 Village Terrace Dr
Dunwoody, GA 30338-2315
Phone (404) 790-1010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1700 Northside Dr NW
Suite A7
Atlanta, GA 30318-2695
Phone (415) 360-3348
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC007694 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical of Michigan PC | Multi-Specialty | Current | Accepting new patients |
| Chris 180, Inc. | Multi-Specialty | Past | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
1700 Northside Dr NW
Ste A7
Atlanta, GA 30318
Phone (513) 633-0088
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.
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1144800350
GA, Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1528658663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5013 VILLAGE TERRACE DR",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303382315",
"telephone_number": "404-790-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3103 CLAIRMONT RD NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303291043",
"telephone_number": "404-636-1457"
}
],
"practiceLocations": [
{
"address_1": "5013 Village Terrace Dr",
"address_purpose": "LOCATION",
"city": "Dunwoody",
"state": "GA",
"postal_code": "303382315",
"country_code": "US",
"telephone_number": "404-790-1010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASAN",
"first_name": "ANEELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-22",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC007694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.