HANNAH ROSE LCPC
NPI 1154965416
Counselor - Professional in West Frankfort, IL

Q: What is Hannah Rose's NPI number?

The NPI number for Hannah Rose is 1154965416. It was assigned to this individual provider in the NPPES registry on October 30, 2019. The provider is also known as Hannah Sullivan.

Q: What is Hannah Rose's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Hannah Rose was last updated on March 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 30, 2019PECOS EnrolledAccepts Medicare Assignment

902 W MAIN ST, WEST FRANKFORT, IL 62896(618) 937-6483(618) 937-1440 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2022, Oct 30, 2019 (2 updates tracked since 2019).

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About Hannah Rose Lcpc NPPES

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

HANNAH ROSE LCPC (NPI 1154965416) is an individual professional provider in West Frankfort, Illinois, licensed in Illinois (180012464) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1154965416

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameHANNAH ROSECredential: LCPC

Location Address902 W MAIN STWest Frankfort, IL 62896-2210

Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 937-6483 · Fax (618) 937-1440

Phone(618) 937-6483

Fax(618) 937-1440

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 30, 2019

Last NPPES UpdateMarch 7, 20222 updates tracked since enumeration

NPPES CertifiedMarch 7, 2022

✔ NPI 1154965416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 180012464

902 W MAIN ST, West Frankfort, IL 62896

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Other Names 1

Former Name (1)Hannah Sullivan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hannah Rose Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193213833

PECOS Enrollment IDI20251023002696

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 20

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

DAYLE RUSSELL

Developmental Therapist