Individual provider Active NPI

Lily Hanscom

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1043921760
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14209872-6004 Issued in UT
Practice address
495 E 4500 S Ste 100
Salt Lake City, UT 84107-2797
Phone
(801) 746-4334
Fax
(801) 746-4337
NPI assigned
Dec 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 14209872-6004 UT
Clinical Social Worker 1041C0700X 14209872-6004 UT
Mental Health Counselor 101YM0800X 14209872-6004 UT Primary

Addresses

Primary practice location

495 E 4500 S Ste 100
Salt Lake City, UT 84107-2797

Mailing address

495 E 4500 S Ste 100
Salt Lake City, UT 84107-2797
Phone (801) 746-4334

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14209872-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family and Children'S Service of Southern Arizona, Inc CurrentSince Feb 24, 2024 Accepting new patients
Jewish Family Service PastSince Jun 29, 2025 Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

4301 E 5th St
Tucson, AZ 85711
Phone (520) 795-0300

Organizations & group practices 3

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": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1043921760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 E 4500 S STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072797",
            "telephone_number": "801-746-4334",
            "fax_number": "801-746-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 E 4500 S STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072797",
            "telephone_number": "801-746-4334",
            "fax_number": "801-746-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSCOM",
        "first_name": "LILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "14209872-6004",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "14209872-6004",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "14209872-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.