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HANNAH ROSE LCSW
NPI 1194261552
Counselor - Mental Health in Dallas, OR

Active since January 10, 2017Opted out of Medicare · through Jul 1, 2027
182 SW ACADEMY ST, DALLAS, OR 97338(503) 623-9289(503) 361-2664 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2025, Nov 15, 2024, Oct 13, 2020 and 2 more (5 updates tracked since 2017).

About Hannah Rose Lcsw NPPES

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

HANNAH ROSE LCSW (NPI 1194261552) is an individual mental health provider in Dallas, Oregon, licensed in Oregon (L8233) and active in the NPI registry since January 2017. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1194261552
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHANNAH ROSECredential: LCSW
Location Address182 SW ACADEMY STDallas, OR 97338-1996
Mailing Address182 Sw Academy StDallas, OR 97338-1996 · (503) 623-9289 · Fax (503) 361-2664
Phone(503) 623-9289
Fax(503) 361-2664
Sole ProprietorNo
Enumeration DateJanuary 10, 2017
Last NPPES UpdateMarch 7, 20255 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
✔ NPI 1194261552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · L8233
Also ListedSocial WorkerTaxonomy 104100000X · License 6801097882 (MI)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
182 SW ACADEMY ST, Dallas, OR 97338
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Other Names 1

Former Name (1)Hannah Rankin

Other Identifiers 1

Medicaid1715928MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Hannah Rose Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

JESSICA LYNN DAVIDSON
Case Manager/Care Coordinator
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
ROBERT AUSTIN ZEPEDA
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 962-3928
KIMBERLY DAWN HOWARD QMHA
Counselor
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338
Polk County (503) 623-9289
JEDONNE JORSTAD BA
Counselor (Mental Health)
182 SW ACADEMY ST, STE 304
DALLAS, OR 97338
Polk County (503) 623-9289
MELANIE MYERS M.S.
Social Worker
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 831-5970
ZACHARY BEELER
Counselor (Mental Health)
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
LINNEA BAKER
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
SUSAN MARIE KLEIN
Counselor (Addiction (Substance Use Disorder))
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338
Polk County (503) 623-9289

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 Hannah Rose's NPI number?

The NPI number for Hannah Rose is 1194261552. It was assigned to this individual provider in the NPPES registry on January 10, 2017. The provider is also known as Hannah Rankin.

Where is Hannah Rose located?

Hannah Rose practices at 182 SW Academy St, Dallas, OR 97338. The listed phone number is (503) 623-9289.

What is Hannah Rose's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Hannah Rose enrolled in Medicare?

No. Hannah Rose has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Hannah Rose was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.