Annette Denise Hanson-Sias, MA, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC04657 Issued in MN

Practice address

1209 Tyler St NE Ste 170
Minneapolis, MN 55413-1580

Phone

(612) 259-7384

NPI assigned

Dec 20, 2024

Sex

Female

Sole proprietor

No

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

Enrolled in MN

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Change Inc.

  • Marriage & Family Therapist
  • Saint Paul, MN
  • NPI 1255473641
  Medicare reassignment NPD

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1154139236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53495 EMERALD AVE",
            "city": "RUSH CITY",
            "state": "MN",
            "postal_code": "550692736",
            "telephone_number": "320-224-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 TYLER ST NE STE 170",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131580",
            "telephone_number": "612-259-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON-SIAS",
        "first_name": "ANNETTE",
        "middle_name": "DENISE",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC04657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randa Marie Hanshaw
• Melissa Jean Hansing, CPNP
• Amanda J Hansmann, MD
• Olivia Crocker Hansmeyer
• Hanson Chiropractic, PA.
• Arthur Stuart Hanson, MD
• Beth A Hanson, MSN, PMHNP-BC, FNP
• Brian Joseph Hanson, M.D.
• Carmela Amuan Anaya Hanson
• Devin Michael Hanson, PHD, LP

• Mental Health Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.