Individual provider Active NPI

Meagan Bracy Hansen, MSW, LCSW

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1083814487
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6901 SE Lake Rd Ste 27
Portland, OR 97267-2195
Phone
(971) 990-1421
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6901 SE Lake Rd Ste 27
Portland, OR 97267-2195

Mailing address

6901 SE Lake Rd Ste 27
Portland, OR 97267-2195
Phone (971) 990-1421

Other practice location 1

107 E 2nd St
Molalla, OR 97038-9195
Phone (503) 707-5507

Other practice location 2

521 SW 11th Ave
Suite 200
Portland, OR 97205-2634
Phone (503) 827-3035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McCoy Counseling Services LLC Mental Health Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1083814487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 SE LAKE RD STE 27",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972672195",
            "telephone_number": "971-990-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 SE LAKE RD STE 27",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972672195",
            "telephone_number": "971-990-1421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Molalla",
            "state": "OR",
            "postal_code": "970389195",
            "country_code": "US",
            "telephone_number": "503-707-5507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 SW 11th Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972052634",
            "country_code": "US",
            "telephone_number": "503-827-3035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MEAGAN",
        "middle_name": "BRACY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.