Active NPI
Brandee Hahn
- Mental Health Counselor
- Olney, IL
National Provider Identifier
1972290609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180015180
- Practice address
- 302 S Kitchell Ave Ste F
Olney, IL 62450-1500 - Phone
- (618) 417-7012
- NPI assigned
- Apr 21, 2023
- Last updated
- Apr 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180015180 | IL | Primary |
Addresses
Primary practice location
302 S Kitchell Ave Ste F
Olney, IL 62450-1500
Mailing address
302 S Kitchell Ave Ste F
Olney, IL 62450-1500
Phone (618) 417-7012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240410003066 | IL | Practitioner - Mental Health Counselor | 7719325646 | Practice locations: Olney, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
302 S Kitchell Ave
Suite F
Olney, IL 62450-1500
Phone (618) 417-7012
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180015180 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1972290609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 S KITCHELL AVE STE F",
"city": "OLNEY",
"state": "IL",
"postal_code": "624501500",
"telephone_number": "618-417-7012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 S KITCHELL AVE STE F",
"city": "OLNEY",
"state": "IL",
"postal_code": "624501500",
"telephone_number": "618-417-7012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAHN",
"first_name": "BRANDEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-21",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180015180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olney, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.