Paul R Hannon, LCAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

87000841A Issued in IN

Practice address

660 Morthland Dr Ste a
Valparaiso, IN 46385-4638

Phone

(219) 462-9200

Fax

(219) 465-1245

NPI assigned

Aug 1, 2011

Last updated

Aug 1, 2011By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Family Focus, Inc

  dba Life Focus Services

  • Adult Mental Health Clinic/Center
  • Valparaiso, IN
  • NPI 1437763760
  NPD (past)

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1942588421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 MORTHLAND DR STE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463854638",
            "telephone_number": "219-462-9200",
            "fax_number": "219-465-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 MORTHLAND DR STE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463854638",
            "telephone_number": "219-462-9200",
            "fax_number": "219-465-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNON",
        "first_name": "PAUL",
        "middle_name": "R",
        "credential": "LCAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87000841A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Handtke
• Cassandra Erika Haniford, FNP-C
• Sabine Hankiewicz
• Julie Lynn Hann, RDN
• Kandyce Kraus Hannon, LCSW
• Blake Hansen, DNP, FNP-C
• Michael Christopher Hansen, MD
• Karla Joann Hanson, AGACNP-BC
• Floyd Joseph Hardy Jr., DMIN, LMHC
• Megan Hare, PT, DPT

• Addiction (Substance Use Disorder) Counselor in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Addiction (Substance Use Disorder) Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.