Stephen Charles Hansen, PSYD, LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.010171 Issued in IL

Practice address

428 W Lawn St Apt 2
Rushville, IL 62681-1648

Phone

(312) 213-3926

NPI assigned

Nov 12, 2019

Last updated

Nov 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700

  IL

  Medicare reassignment Care Compare group NPD
• Lifecore Rehab and Counseling Services SC

  • Mental Health Counselor
  • Orland Park, IL
  • NPI 1679819734
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1073158200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 W LAWN ST APT 2",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626811648",
            "telephone_number": "312-213-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 W LAWN ST APT 2",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626811648",
            "telephone_number": "312-213-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "STEPHEN",
        "middle_name": "CHARLES",
        "credential": "PSYD, LCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Andrew Gerleman, DC
• Julie Goddard, LCSW
• Heidi Marie Greer, APRN
• Krista D Groenewold, CCC-SLP/L
• Guidance With Grace Counseling Services, LLC
• Pamela Constance Hewitt-Meyer, PSYD, LCP, LCPC
• Kate Lynn Horstmeyer, RD LD
• HSHS Medical Group Inc
• Susan Ann Huber-Bartlett, PA-C
• Danilo Rivera Kayanan Jr.

• Clinical Psychologist in Rushville, IL
• Providers in Rushville, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.