Colleen Rene Hannush, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006519 Issued in NC

Practice address

123 Professional Park Dr
Ste 101
Mooresville, NC 28117-5516

Phone

(866) 588-0977

NPI assigned

May 1, 2008

Last updated

Dec 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, OH, TX, LA, MO, OK6 enrollments

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 6

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eleanor Health Professional NC PLLCGroup PAC ID 5799017943, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: colleen.hannush.1@21505.direct.athenahealth.com

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.

• Eleanor Health Professional NC, PLLC

  • Psychiatry Physician
  • Hickory, NC
  • NPI 1891349155
  Medicare reassignment Care Compare group NPD
• Appalachian Counseling and Psychological Services, Inc.

  • Psychologist
  • Asheville, NC
  • NPI 1700264058
  Medicare reassignment NPD
• Eleanor Health Professional la, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Lafayette, LA
  • NPI 1265050736
  Medicare reassignment NPD
• Eleanor Health Professional Oh, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Akron, OH
  • NPI 1730782475
  Medicare reassignment NPD
• Eleanor Health Professional TX, PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • San Antonio, TX
  • NPI 1932854981
  Medicare reassignment NPD
• Eleanor Health Professional TX PLLC

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1013707587
  Medicare reassignment
• Eleanor Health Professional TX, PLLC

  • Addiction Psychiatry Physician
  • Saint Louis, MO
  • NPI 1689462251
  Medicare reassignment
• Appalachian Counseling and Psychological Services

  • Psychologist
  • Asheville, NC
  • NPI 1578961116

  Clinical

  NPD
• Eleanor Health Professional TX, PLLC

  • Addiction Psychiatry Physician
  • Denver, CO
  • NPI 1891583480
  NPD
• MH Blue Ridge Medical Center, LLLP

  dba Blue Ridge Medical Center - Yancey Campus

  • Rural Health Clinic/Center
  • Burnsville, NC
  • NPI 1881161347
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1669648515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 PROFESSIONAL PARK DR",
            "address_2": "STE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175516",
            "telephone_number": "866-588-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 PROFESSIONAL PARK DR",
            "address_2": "STE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175516",
            "telephone_number": "866-588-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNUSH",
        "first_name": "COLLEEN",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2853453",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007431",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle A Hammerle
• Lucinda J. Hammond, MA, LPC
• Farid Hanachi, DDS PA
• Hanger Prosthetics & Orthotics East Inc (Hanger Clinic)
• Allison B Hanley, PA-C
• Elizabeth Corazzo Hansen, R.PH.
• Harbor Internal Medicine
• Harbor Internal Medicine PLLC
• Harborside Pediatrics, PLLC
• Hardee Family Medicine PA

• Clinical Social Worker in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.

Verify at the official NPI Registry.