Active NPI
Cherie Latrice Hanson
- Professional Counselor
- Richfield, MN
National Provider Identifier
1164009437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 6625 Lyndale Ave S Ste 440
Richfield, MN 55423-2380 - Phone
- (612) 460-5196
- NPI assigned
- Mar 24, 2021
- Last updated
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary | |
| School Counselor | 101YS0200X | 479841 | MN |
Addresses
Primary practice location
6625 Lyndale Ave S Ste 440
Richfield, MN 55423-2380
Mailing address
3420 18TH Ave S
Minneapolis, MN 55407-2327
Phone (219) 707-3751
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cherie.hanson@canopymhc.com | 3C Hansons |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 479841 | MN | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3C Hansons | Current | Accepting new patients |
Locations
6625 Lyndale Ave S
Ste 440
Richfield, MN 55423
Phone (612) 712-7200
Organizations & group practices 1
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.
-
dba Canopy Mental Health & Consulting
- Mental Health Counselor
- Richfield, MN
- NPI 1780221887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1164009437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 18TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554072327",
"telephone_number": "219-707-3751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6625 LYNDALE AVE S STE 440",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232380",
"telephone_number": "612-460-5196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "CHERIE",
"middle_name": "LATRICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MN",
"license": "479841",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cherie.hanson@canopymhc.com",
"affiliation": "Y",
"endpointDescription": "Secure email",
"affiliationName": "3C Hansons",
"address_1": "6625 Lyndale Ave S Ste 440",
"city": "Richfield",
"state": "MN",
"country_code": "US",
"postal_code": "554232380",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.