Edward James Hannifin V, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4481 Issued in MA

Practice address

22 King St
Littleton, MA 01460-1519

Phone

(978) 952-6809

Fax

(978) 952-8607

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Mental Health Counselor

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Behavioral Care New England LLCGroup PAC ID 2860836715, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Integrated Behavioral Care New England LLC

  • Counselor
  • North Andover, MA
  • NPI 1053185272
  Medicare reassignment Care Compare group NPD
• General Psychological Associates

  • Counseling Psychologist
  • Andover, MA
  • NPI 1700810025
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619022399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 NEW ESTATE RD",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "014601108",
            "telephone_number": "978-486-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 KING ST",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "014601519",
            "telephone_number": "978-952-6809",
            "fax_number": "978-952-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNIFIN",
        "first_name": "EDWARD",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "V",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Gilbert
• Lauren Rome Goorno, LICSW
• Paula Greco, LICSW
• Phil Green, LMHC
• Craig C Gruskowski, DMD
• Christine Marie Hannigan Morrison, L.I.C.S.W.
• Pamela Harting-Barrat, PH.D
• Shelley Ames Hartz, RN, CS
• Martha J Hayden, LICSW
• Health Prioritized PC

• Mental Health Counselor in Littleton, MA
• Providers in Littleton, MA by specialty
• Mental Health Counselor in Massachusetts

• 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.
• 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.

Verify at the official NPI Registry.