Individual provider Active NPI

Andrai Hak, MENTAL HEALTH COUNSE

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1851561617
Registry record updated Mar 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH6213 Issued in FL
Practice address
2950 Aloma Ave
Suite 202
Winter Park, FL 32792-3662
Phone
(407) 975-0400
Fax
(407) 696-4831
NPI assigned
Mar 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 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 IMH6213 FL Primary

Addresses

Primary practice location

2950 Aloma Ave
Suite 202
Winter Park, FL 32792-3662

Mailing address

4715 Lighthouse Rd
Orlando, FL 32808-1617
Phone (321) 438-4032

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

LicenseStateTypeSpecialty
IMH6213FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1204934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204934400000",
    "number": "1851561617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 LIGHTHOUSE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328081617",
            "telephone_number": "321-438-4032",
            "fax_number": "407-578-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 ALOMA AVE",
            "address_2": "SUITE 202",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923662",
            "telephone_number": "407-975-0400",
            "fax_number": "407-696-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAK",
        "first_name": "ANDRAI",
        "name_prefix": "Mr.",
        "credential": "MENTAL HEALTH COUNSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-08",
        "last_updated": "2008-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH6213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.