KAYLA MARIE HANNA (MS, LPCC) – Professional Counselor, NPI 1013473404

KAYLA MARIE HANNA (MS, LPCC) is a healthcare provider. based in Grand rapids, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LPCC. They hold a License No. CC02038 (MN). The NPI Number for KAYLA MARIE HANNA (MS, LPCC) is 1013473404

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KAYLA MARIE HANNA (MS, LPCC)
NPI
1013473404
Phone
(218) 326-1274
Address
215 SE 2ND AVE
Enumeration Date
11 February 2019
Last Update Date
10 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2189997081
Graduation Year
2016 (10 years ago)
PAC ID
4880187871
Group Practice PAC ID
9638501661
Professional Enrollment ID
I20251208001793
Address ID
MN557442869GR104XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

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Provider Addresses for KAYLA MARIE HANNA (MS, LPCC)

  • 215, Southeast 2nd Avenue, Grand Rapids, Itasca County, Minnesota, 55744, United States

    GRAND RAPIDS, MN 557443615

    Phone: (218) 326-1274

    Fax: (218) 326-9787

    Type: Location

  • 104 NE 3RD ST # 200H

    GRAND RAPIDS, MN 557442869

    Phone: (218) 999-7081

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251208001793IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55744)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638501661View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What is the standard ID for KAYLA MARIE HANNA (MS, LPCC) in the U.S.?
In the U.S., KAYLA MARIE HANNA (MS, LPCC) is identified by NPI 1013473404.
Is KAYLA MARIE HANNA (MS, LPCC) currently accepting referrals based on NPI status?
Registry metadata lists KAYLA MARIE HANNA (MS, LPCC) as active.
What type of care does KAYLA MARIE HANNA (MS, LPCC) provide?
KAYLA MARIE HANNA (MS, LPCC)'s profile centers on Professional Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to KAYLA MARIE HANNA (MS, LPCC)?
KAYLA MARIE HANNA (MS, LPCC) shows a connection to Grand Rapids, Minnesota in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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