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HANNA VANDENDRIESSCHE LAC
NPI 1801105374
Counselor - Mental Health in Glendale, AZ

Active since October 01, 2010PECOS Enrolled
5701 W TALAVI BLVD, STE 180, GLENDALE, AZ 85306(623) 486-8202(623) 486-2739 Get Directions Write a Review

NPPES record last updated: October 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hanna Vandendriessche Lac NPPES

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

HANNA VANDENDRIESSCHE LAC (NPI 1801105374) is an individual mental health provider in Glendale, Arizona, licensed in Arizona (LAC-11821) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801105374
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHANNA VANDENDRIESSCHECredential: LAC
Location Address5701 W TALAVI BLVD, STE 180Glendale, AZ 85306-1886
Mailing Address4747 N 7th St, Ste 100Phoenix, AZ 85014-3653 · (602) 279-7655 · Fax (602) 264-1806
Phone(623) 486-8202
Fax(623) 486-2739
Sole ProprietorNo
Enumeration DateOctober 1, 2010
✔ NPI 1801105374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · LAC-11821
5701 W TALAVI BLVD, Glendale, AZ 85306
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hanna Vandendriessche Lac 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 20

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

AMY FLORES
Behavior Technician
5701 W TALAVI BLVD
GLENDALE, AZ 85306
Maricopa County (855) 223-7123
BAILEY DUNN
Behavior Technician
5701 W TALAVI BLVD
GLENDALE, AZ 85306
Maricopa County (855) 223-7123
MONICA SHOPPA
Behavior Technician
5701 W TALAVI BLVD
GLENDALE, AZ 85306
Maricopa County (855) 223-7123
BRITTNIE HENIGE
Behavior Technician
5701 W TALAVI BLVD
GLENDALE, AZ 85306
Maricopa County (855) 223-7123
JENEE POLK
Counselor (Mental Health)
5701 W TALAVI BLVD, SUITE 180
GLENDALE, AZ 85306
Maricopa County (623) 486-8202
NINA HOEDEBECK
Behavior Technician
5701 W TALAVI BLVD
GLENDALE, AZ 85306
Maricopa County (855) 223-7123
RUBEN FRANCISCO GRACE III LMSW
Counselor (Mental Health)
5701 W TALAVI BLVD, SUITE 180
GLENDALE, AZ 85306
Maricopa County (623) 486-8202
STACEY BETH GREGORY
Nurse Practitioner (Psychiatric/Mental Health)
5701 W TALAVI BLVD, SUITE 180
GLENDALE, AZ 85306
Maricopa County (623) 486-8202

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 Hanna Vandendriessche's NPI number?

The NPI number for Hanna Vandendriessche is 1801105374. It was assigned to this individual provider in the NPPES registry on October 1, 2010.

Where is Hanna Vandendriessche located?

Hanna Vandendriessche practices at 5701 W Talavi Blvd Ste 180, Glendale, AZ 85306. The listed phone number is (623) 486-8202.

What is Hanna Vandendriessche's specialty?

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

Is Hanna Vandendriessche enrolled in Medicare?

Yes. Hanna Vandendriessche is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hanna Vandendriessche was last updated on October 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.