Mollie Hansen

Primary specialty

CounselorTaxonomy code 101Y00000X

License

G60655200 Issued in WA

Practice address

5301 Tieton Dr Ste C
Yakima, WA 98908

Phone

(509) 965-7100

Fax

(509) 966-9750

NPI assigned

Jun 1, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1114375045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 TIETON DR STE C",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083479",
            "telephone_number": "509-965-7100",
            "fax_number": "509-966-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 TIETON DR STE C",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98908",
            "telephone_number": "509-965-7100",
            "fax_number": "509-966-9750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Kern Road",
            "address_2": "Catholic Family & Child Service c/o Children's Village",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "98908",
            "country_code": "US",
            "telephone_number": "509-574-3267",
            "fax_number": "509-574-6710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MOLLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "WA",
            "license": "AB60925122",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "G60655200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061184",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Corinna Han, PHARMD
• Brian Kent Hanchett, DMD
• Sean Hancock
• Daniel Sean Hannon, LMFT
• Leslie J Hansen, ARNP
• Terah Appel Anderson Hansen, MS, CGC, LGC
• Tiffany M Hansen
• Wayne Hansen, NP
• Melissa L Hanses, ARNP
• Tiffany Hanshew

• Counselor in Yakima, WA
• Providers in Yakima, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.