Provider Demographics
NPI:1508759465
Name:BINGHAM, HANNA KATE (LPCC)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:KATE
Last Name:BINGHAM
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10513 ENGELMANN AVE
Mailing Address - Street 2:
Mailing Address - City:PONCHA SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81201-8015
Mailing Address - Country:US
Mailing Address - Phone:719-429-2119
Mailing Address - Fax:
Practice Address - Street 1:8990 COUNTY ROAD 165
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-9540
Practice Address - Country:US
Practice Address - Phone:719-285-9385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0023343101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health