Individual provider Active NPI

William A Hansen, MFT

  • Mental Health Counselor
  • Provo, UT
National Provider Identifier
1093994741
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
COUI3582 Issued in ID
Practice address
3585 N University Ave Ste 300
Provo, UT 84604-6611
Phone
(801) 979-1111
NPI assigned
Oct 30, 2007
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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 COUI3582 ID Primary

Addresses

Primary practice location

3585 N University Ave Ste 300
Provo, UT 84604-6611

Mailing address

690 S Industry Way
Suite 45
Meridian, ID 83642-7899
Phone (208) 922-2207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20250327001871 UT Practitioner - Mental Health Counselor 3870016181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aeworkman IncGroup PAC ID 9931566288, 2 clinicians

Practice addresses (Care Compare)

3585 N University Ave
Walker Building Suite 300
Provo, UT 84604-6601
Phone (801) 797-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COUI3582IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mentele Health LLC Mental Health Current Accepting new patients
Quell Counseling Mental Health CurrentSince May 31, 2026 Accepting new patients
Aeworkman, Inc Mental Health CurrentSince Mar 17, 2025 Accepting new patients

Locations

3585 N University Ave
Bldg Sui
Provo, UT 84604
Phone (801) 797-1111

3585 N University Ave
Ste 300
Provo, UT 84604
Phone (801) 797-1111

Organizations & group practices 5

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": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1093994741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S INDUSTRY WAY",
            "address_2": "SUITE 45",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427899",
            "telephone_number": "208-922-2207",
            "fax_number": "208-922-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 N UNIVERSITY AVE STE 300",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046611",
            "telephone_number": "801-979-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "COUI3582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.