Active NPI
Hannah Carroll
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1710745864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1235 SE Division St Ste 104
Portland, OR 97202-1055 - Phone
- (360) 726-4141
- NPI assigned
- Mar 12, 2024
- Last updated
- Mar 12, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1235 SE Division St Ste 104
Portland, OR 97202-1055
Mailing address
5030 SE Stephens St Apt 404
Portland, OR 97215-3288
Other practice location 1
9230 NE Hwy 99, Vancouver, Suite 108
Vancouver, WA 98665
Phone (360) 726-4141
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Expressions, LLC | Mental Health | Current | Accepting new patients |
| Beyond Eating Recovery, LLC | Mental Health | Current | Accepting new patients |
Locations
1235 SE Division St
Ste 104
Portland, OR 97202
Phone (360) 726-4141
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.
-
- Mental Health Counselor
- Portland, OR
- NPI 1831077064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1710745864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5030 SE STEPHENS ST APT 404",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972153288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 SE DIVISION ST STE 104",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021055",
"telephone_number": "360-726-4141"
}
],
"practiceLocations": [
{
"address_1": "9230 NE Hwy 99, Vancouver, Suite 108",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "98665",
"country_code": "US",
"telephone_number": "360-726-4141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARROLL",
"first_name": "HANNAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-12",
"last_updated": "2024-03-12",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.