Kimberly S Hanson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7060 Issued in SC

Practice address

669 Marina Dr Ste B6
Charleston, SC 29492-8120

Phone

(843) 814-4429

NPI assigned

Nov 15, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Heartcore Counseling & Creative Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charleston, SC
  • NPI 1942937867
  NPD Authorized official
• Wildflower Center for Counseling

  • Counselor
  • Mount Pleasant, SC
  • NPI 1780229146
  NPD (past)

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1144865973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 MARINA DR STE B6",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928120",
            "telephone_number": "843-814-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 MARINA DR STE B6",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928120",
            "telephone_number": "843-814-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Hansen
• Mark Christopher Hansen, MD
• Shannon Keenan Hansen, AGACNP-BC
• Stefan Charles Hansen, MD
• Drew Hanson
• Rochelle Hanson, PHD
• Sonya Hanson
• Faye N Hant, D.O.
• Kristin Linamaria Hanula, MSW, LISW-CP, LCSW
• Ronald Alan Harbert

• Professional Counselor in Charleston, SC
• Providers in Charleston, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.