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GEORGE IVAR HANNIBAL LCSW, CADCI
NPI 1003866708
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since May 11, 2006PECOS Enrolled
1419 NE 69TH AVE, PORTLAND, OR 97213(503) 254-1545(503) 525-2846 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About George Ivar Hannibal Lcsw, Cadci NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE IVAR HANNIBAL LCSW, CADCI (NPI 1003866708) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (01-11-26) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003866708
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameGEORGE IVAR HANNIBALCredential: LCSW, CADCI
Location Address1419 NE 69TH AVEPortland, OR 97213-5301
Mailing Address1419 Ne 69th AvePortland, OR 97213-5301 · (503) 254-1545 · Fax (503) 525-2846
Phone(503) 254-1545
Fax(503) 525-2846
Sole ProprietorYes
Enumeration DateMay 11, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1003866708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 01-11-26
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License L0525 (OR)
1419 NE 69TH AVE, Portland, OR 97213
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

George Ivar Hannibal Lcsw, Cadci is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGE I. HANNIBAL
Community/Behavioral Health
1419 NE 69TH AVE
PORTLAND, OR 97213
Multnomah County (503) 254-1545
ALEXANDREA SMONE REYNOLDS
Massage Therapist
1419 NE 69TH AVE
PORTLAND, OR 97213
Multnomah County (971) 340-8445
HANNIBAL & HANNIBAL, LLC
Counselor (Addiction (Substance Use Disorder))
1419 NE 69TH AVE
PORTLAND, OR 97213
Multnomah County (503) 254-1545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George Hannibal's NPI number?

The NPI number for George Hannibal is 1003866708. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is George Hannibal located?

George Hannibal practices at 1419 NE 69th Ave, Portland, OR 97213. The listed phone number is (503) 254-1545.

What is George Hannibal's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is George Hannibal enrolled in Medicare?

Yes. George Hannibal is registered in the Medicare PECOS enrollment system.

What insurance does George Hannibal accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list George Hannibal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for George Hannibal was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.