Amanda Hannah, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12220 Issued in FL

Practice address

43 Knight Boxx Rd
Ste 1
Orange Park, FL 32065-7395

Phone

(904) 379-8675

Fax

(904) 423-0490

NPI assigned

Dec 17, 2013

Last updated

Dec 7, 2016By 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

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• River's Edge Counseling, PLLC

  • Mental Health Counselor
  • Orange Park, FL
  • NPI 1396155768
  Medicare reassignment Authorized official
• River's Edge Counseling, PLLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1053981852
  Authorized official Same address or phone
• River's Edge Counseling, PLLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1548958168
  NPD (past) Authorized official

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1891116968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 KNIGHT BOXX RD",
            "address_2": "STE 1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657395",
            "telephone_number": "904-379-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 KNIGHT BOXX RD",
            "address_2": "STE 1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657395",
            "telephone_number": "904-379-8675",
            "fax_number": "904-423-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAH",
        "first_name": "AMANDA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ameer Hamza, M.D
• Larry L Han, AP
• Kellie John Handscombe, DPT
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• Zainab Hanif, M.D.
• Edwin Hannah, MSW
• Haley Hannah
• Mary Ann Hanson, APRN
• Nicholas Hanson, PHARMD
• Harbor Physicians LLC

• Mental Health Counselor in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.