Active NPI
Mary Star Hannify, LPC
- Mental Health Counselor
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC014289
- Practice address
- 2100 Comer Ave
Columbus, GA 31904-8725 - Phone
- (706) 596-5500
- NPI assigned
- Jul 11, 2016
- Last updated
- Mar 17, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC014289 | GA | Primary |
| Community Health Worker | 172V00000X | NU |
Addresses
Primary practice location
2100 Comer Ave
Columbus, GA 31904-8725
Mailing address
2100 Comer Ave
Columbus, GA 31904-8725
Phone (706) 596-5500
Other practice location 1
6618 Foxboro Dr
Columbus, GA 31907-3021
Phone (706) 505-0122
Other practice location 2
1329 Wynnton Rd
Columbus, GA 31906-2919
Phone (706) 341-3755
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC014289 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizons North, Inc. | Current | Accepting new patients | |
| Sage Mental Wellness Center LLC | Mental Health | Past | Accepting new patients |
Locations
2100 Comer Ave
Columbus, GA 31904
Phone (706) 323-0174
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- Columbus, GA
- NPI 1184736092
-
dba SAGE Mental Wellness Center
- Mental Health Counselor
- Columbus, GA
- NPI 1467142489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1639521958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 COMER AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048725",
"telephone_number": "706-596-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 COMER AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048725",
"telephone_number": "706-596-5500"
}
],
"practiceLocations": [
{
"address_1": "6618 Foxboro Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "GA",
"postal_code": "319073021",
"country_code": "US",
"telephone_number": "706-505-0122",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1329 Wynnton Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "GA",
"postal_code": "319062919",
"country_code": "US",
"telephone_number": "706-341-3755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNIFY",
"first_name": "MARY",
"middle_name": "STAR",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC014289",
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.