Individual provider Active NPI

Gayna Patricia Hansen, M.A

  • Mental Health Counselor
  • Cocoa, FL
National Provider Identifier
1114144714
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8377 Issued in FL
Practice address
96 Willard St
1127 S.Patrick Dr; Satellite Beach, FL 32937
Cocoa, FL 32922-7991
Phone
(321) 638-0027
Fax
(321) 638-0115
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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 MH8377 FL Primary

Addresses

Primary practice location

96 Willard St
1127 S.Patrick Dr; Satellite Beach, FL 32937
Cocoa, FL 32922-7991

Mailing address

1202 Winding Meadows Rd
Rockledge, FL 32955-8408
Phone (321) 433-2491

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH8377FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1114144714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 WINDING MEADOWS RD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329558408",
            "telephone_number": "321-433-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 WILLARD ST",
            "address_2": "1127 S.PATRICK DR; SATELLITE BEACH, FL 32937",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227991",
            "telephone_number": "321-638-0027",
            "fax_number": "321-638-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "GAYNA",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "M.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.