Individual provider Active NPI

Jennifer Tracy Hanna, LMHC

  • Mental Health Counselor
  • Lynnfield, MA
National Provider Identifier
1669620399
Registry record updated Sep 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000006686 Issued in MA
Practice address
200 Broadway
Suite 301
Lynnfield, MA 01940-2349
Phone
(617) 839-6767
NPI assigned
Sep 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2008

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 000006686 MA Primary

Addresses

Primary practice location

200 Broadway
Suite 301
Lynnfield, MA 01940-2349

Mailing address

241 Court Rd
Winthrop, MA 02152-2830
Phone (617) 839-6767

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251120002755 MA Practitioner - Mental Health Counselor 0345732061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JCL Counseling Group LLCGroup PAC ID 9638661358, 2 clinicians

Practice addresses (Care Compare)

607 N Ave
Suite 18 1
Wakefield, MA 01880-1301
Phone (978) 223-0672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000006686MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
JCL Counseling Group, LLC Mental Health CurrentSince Jan 1, 2025 Accepting new patients
JCL Counseling Group, LLP Mental Health Past Accepting new patients

Locations

607 North Ave
Ste 181
Wakefield, MA 01880
Phone (617) 839-6767

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": "1220659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220659200000",
    "number": "1669620399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 COURT RD",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522830",
            "telephone_number": "617-839-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BROADWAY",
            "address_2": "SUITE 301",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402349",
            "telephone_number": "617-839-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "JENNIFER",
        "middle_name": "TRACY",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-06",
        "last_updated": "2008-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "000006686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnfield, MA

Sources for this page

Verify at the official NPI Registry.