Individual provider Active NPI

Hannah Leigh Colvin

  • Mental Health Counselor
  • Rockport, IN
National Provider Identifier
1952986994
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3700-06-3774 Issued in IN
Practice address
818 Madison St
Rockport, IN 47635-1241
Phone
(812) 649-9168
Fax
(812) 649-4593
NPI assigned
Mar 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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 3700-06-3774 IN Primary

Addresses

Primary practice location

818 Madison St
Rockport, IN 47635-1241

Mailing address

818 Madison St
Rockport, IN 47635-1241
Phone (812) 649-9168

Other practice location 1

1443 9th St
Tell City, IN 47586-1407
Phone (812) 547-7905 ext. 2318

Other identifiers 1

IdentifierTypeStateIssuer
3700-06-3774OtherINNOT LICENSED YET

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

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1952986994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 MADISON ST",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476351241",
            "telephone_number": "812-649-9168",
            "fax_number": "812-649-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 MADISON ST",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476351241",
            "telephone_number": "812-649-9168",
            "fax_number": "812-649-4593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1443 9th St",
            "address_purpose": "LOCATION",
            "city": "Tell City",
            "state": "IN",
            "postal_code": "475861407",
            "country_code": "US",
            "telephone_number": "812-547-7905 x2318",
            "fax_number": "812-547-5146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "HANNAH",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "3700-06-3774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT LICENSED YET",
            "identifier": "3700-06-3774",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.