Organization Active NPI

William J. Hanshaw, LMFT

  • Marriage & Family Therapist
  • Bowling Green, KY
National Provider Identifier
1053712406
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
KY-0132 Issued in KY
Legal business name
WILLIAM J. HANSHAW, LMFT
Practice address
1209 Smallhouse Rd
Bowling Green, KY 42104-3263
Phone
(270) 782-7156
Fax
(270) 782-7156
NPI assigned
Sep 4, 2014
Last updated
Sep 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
William John Hanshaw, LMFTNPI 1639185523
Title
LMFT / Owner
Phone
(270) 782-7156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC0000000029 TN
Marriage & Family Therapist 106H00000X KY-0132 KY Primary
Marriage & Family Therapist 106H00000X LMT0000000094 TN

Addresses

Primary practice location

1209 Smallhouse Rd
Bowling Green, KY 42104-3263

Mailing address

1209 Smallhouse Rd
Bowling Green, KY 42104-3263
Phone (270) 782-7156

Other identifiers 1

IdentifierTypeStateIssuer
7100266430MedicaidKY

National Provider Directory

National Provider Directory

Locations

1209 Smallhouse Rd
Bowling Green, KY 42104
Phone (270) 782-7156

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1053712406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 SMALLHOUSE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043263",
            "telephone_number": "270-782-7156",
            "fax_number": "270-782-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 SMALLHOUSE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043263",
            "telephone_number": "270-782-7156",
            "fax_number": "270-782-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. HANSHAW, LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "HANSHAW",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "LMFT / OWNER",
        "authorized_official_telephone_number": "270-782-7156",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000000029",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "KY-0132",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "LMT0000000094",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100266430",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.