Active NPI
Anne Hannahan, RN, MA,, LP
- Counseling Psychologist
- Saint Paul, MN
National Provider Identifier
1801967492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP0998
- Practice address
- 821 Raymond Ave
Suite 130B
Saint Paul, MN 55114-1503 - Phone
- (651) 319-9269
- Fax
- (866) 381-6380
- NPI assigned
- Nov 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP0998 | MN | Primary |
Addresses
Primary practice location
821 Raymond Ave
Suite 130B
Saint Paul, MN 55114-1503
Mailing address
1995 Bayard Ave
Saint Paul, MN 55116-1214
Phone (651) 283-0451
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61-90776 | Other | MN | MEDICA OUT OF NETWORK |
| 84G45BI | Other | MN | BLUECROSS BLUESHIELD |
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
- Credentials
- Master of Arts, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP0998 | MN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801967492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1995 BAYARD AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551161214",
"telephone_number": "651-283-0451",
"fax_number": "866-381-6380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 RAYMOND AVE",
"address_2": "SUITE 130B",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141503",
"telephone_number": "651-319-9269",
"fax_number": "866-381-6380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNAHAN",
"first_name": "ANNE",
"credential": "RN, MA,, LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP0998",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA OUT OF NETWORK",
"identifier": "61-90776",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "84G45BI",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.