Active NPI
Jennifer Hanson, LPC
- Professional Counselor
- Mesquite, TX
National Provider Identifier
1033653126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 73297
- Practice address
- 415 Sumner Dr
Mesquite, TX 75149-2536 - Phone
- (214) 223-5470
- NPI assigned
- Dec 8, 2016
- Last updated
- Jan 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 73297 | TX | Primary |
Addresses
Primary practice location
415 Sumner Dr
Mesquite, TX 75149-2536
Mailing address
415 Sumner Dr
Mesquite, TX 75149-2536
Phone (214) 223-5470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73297 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shahla Ali MD PA | Current | Accepting new patients |
Locations
1774 W McDermott Dr
Ste 150
Allen, TX 75013
Phone (469) 340-2777
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515456000000",
"number": "1033653126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 SUMNER DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751492536",
"telephone_number": "214-223-5470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 SUMNER DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751492536",
"telephone_number": "214-223-5470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "JENNIFER",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-08",
"last_updated": "2018-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "73297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.