Organization Active NPI

Hannibal & Hannibal, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
National Provider Identifier
1912119835
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
01-11-26 Issued in OR
Legal business name
HANNIBAL & HANNIBAL, LLC
Practice address
1419 NE 69TH Ave
Portland, OR 97213-5301
Phone
(503) 254-1545
Fax
(503) 525-2846
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
George Ivar Hannibal, MSW
Title
LLC Manager
Phone
(503) 254-1545

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 01-11-26 OR Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X L0525 OR

Addresses

Primary practice location

1419 NE 69TH Ave
Portland, OR 97213-5301

Mailing address

1419 NE 69TH Ave
Portland, OR 97213-5301
Phone (503) 254-1545

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1912119835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 NE 69TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135301",
            "telephone_number": "503-254-1545",
            "fax_number": "503-525-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 NE 69TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135301",
            "telephone_number": "503-254-1545",
            "fax_number": "503-525-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNIBAL & HANNIBAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HANNIBAL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "IVAR",
        "authorized_official_title_or_position": "LLC MANAGER",
        "authorized_official_telephone_number": "503-254-1545",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "01-11-26",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L0525",
            "primary": false
        }
    ],
    "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 Sep 11, 2025; 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.