Jessica J Hansen, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C2891 Issued in OR

Practice address

1614 SE Stephens St
Roseburg, OR 97470-4000

Phone

(541) 375-0314

Fax

(541) 440-3554

NPI assigned

Jul 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jessica J Duhon Former name

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": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1144585332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700151",
            "telephone_number": "541-375-0314",
            "fax_number": "541-896-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 SE STEPHENS ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704000",
            "telephone_number": "541-375-0314",
            "fax_number": "541-440-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "JESSICA",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500646807",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DUHON",
            "middle_name": "J",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tahra Haner
• Hanger Prosthetics & Orthotics West, Inc.
• Stacie L. Hanna, CNM
• Aimee Folsom Hansen, FNP
• Bret R. Hansen, MD
• Kyle William Hansen
• Ryan Alan Hansen, RPH
• Todd Hansen, D.C.
• Brenda Hanson Thielman, MS
• Delanie J Hanson, PAC

• Professional Counselor in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.