Individual provider Active NPI

Hans Peter Paulsen, LPC, CSAC

  • Professional Counselor
  • Farmville, VA
National Provider Identifier
1003353343
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006954 Issued in VA
Practice address
214 Bush River Dr
PO Drawer 248
Farmville, VA 23901-3179
Phone
(434) 392-3187
Fax
(434) 392-5789
NPI assigned
Jan 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710001282 VA
Professional Counselor 101YP2500X 0701006954 VA Primary

Addresses

Primary practice location

214 Bush River Dr
PO Drawer 248
Farmville, VA 23901-3179

Mailing address

214 Bush River Dr
PO Drawer 248
Farmville, VA 23901-3179
Phone (434) 392-3187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229000576 VA Practitioner - Mental Health Counselor 1355786302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Services BoardGroup PAC ID 4486649977, 20 clinicians

Practice addresses (Care Compare)

161 Bush River Dr
Farmville, VA 23901-3183
Phone (434) 392-6455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0710001282VAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Services Board CurrentSince Jan 1, 2024 Accepting new patients
Vaught Christian Counseling PC Professional Past Accepting new patients

Locations

9101 Washington St
Amelia Court House, VA 23002
Phone (804) 561-5057

410 Thomas Jefferson Hwy
Charlotte Court House, VA 23923
Phone (434) 542-5187

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1003353343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 BUSH RIVER DR",
            "address_2": "PO DRAWER 248",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239013179",
            "telephone_number": "434-392-3187",
            "fax_number": "434-392-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 BUSH RIVER DR",
            "address_2": "PO DRAWER 248",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239013179",
            "telephone_number": "434-392-3187",
            "fax_number": "434-392-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "HANS",
        "middle_name": "PETER",
        "credential": "LPC, CSAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710001282",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

Verify at the official NPI Registry.