Active NPI
Melissa Hannon, MA, LMFT
- Marriage & Family Therapist
- Winnetka, CA
National Provider Identifier
1992121545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 93635
- Practice address
- 6623 Sunnybrae Ave
Winnetka, CA 91306-4113 - Phone
- (773) 208-2208
- NPI assigned
- Mar 6, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 93635 | CA | Primary |
Addresses
Primary practice location
6623 Sunnybrae Ave
Winnetka, CA 91306-4113
Mailing address
6623 Sunnybrae Ave
Winnetka, CA 91306-4113
Phone (773) 208-2208
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93635 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1992121545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6623 SUNNYBRAE AVE",
"city": "WINNETKA",
"state": "CA",
"postal_code": "913064113",
"telephone_number": "773-208-2208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6623 SUNNYBRAE AVE",
"city": "WINNETKA",
"state": "CA",
"postal_code": "913064113",
"telephone_number": "773-208-2208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNON",
"first_name": "MELISSA",
"credential": "MA, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-06",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "93635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winnetka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.