NPIMap

Individual provider Active NPI

Hannah Brockstein

  • Counselor
  • Athens, OH
National Provider Identifier
1881323277
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1 Ohio University Dept of Psychology
Porter Hall Room 002
Athens, OH 45701-2942
Phone
(740) 593-0902
Fax
(740) 593-4790
NPI assigned
Jun 9, 2022
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1 Ohio University Dept of Psychology
Porter Hall Room 002
Athens, OH 45701-2942

Mailing address

1 Ohio University Dept of Psychology
Porter Hall Room 002
Athens, OH 45701-2942
Phone (740) 593-0902

Other practice location 1

106 Starret St Ste 100
Lancaster, OH 43130-3993
Phone (740) 687-0042

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

OrganizationSpecialtyStatusNew patients
Mid-Ohio Psychological Services Inc Counselor PastSince Oct 5, 2021 Accepting new patients
Mid-Ohio Psychological Services Inc Counselor PastSince Apr 9, 2016 Accepting new patients
Ohio University Psychology and Social Work Clinic PastSince Jun 12, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1881323277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OHIO UNIVERSITY DEPT OF PSYCHOLOGY",
            "address_2": "PORTER HALL ROOM 002",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012942",
            "telephone_number": "740-593-0902",
            "fax_number": "740-593-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OHIO UNIVERSITY DEPT OF PSYCHOLOGY",
            "address_2": "PORTER HALL ROOM 002",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012942",
            "telephone_number": "740-593-0902",
            "fax_number": "740-593-4790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Starret St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431303993",
            "country_code": "US",
            "telephone_number": "740-687-0042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCKSTEIN",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.