Cari Joy Hansen

Individual provider Active NPI Professional Counselor · Mansfield, MO

NPI 1194067249 · NPPES record last updated Aug 24, 2023

Key facts

NPI
1194067249
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2015043407 (MO)
Practice address
103 N Business 60
Mansfield, MO 65704
Phone
(417) 924-2326
Fax
(417) 924-2327
NPI assigned
Mar 26, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2015043407MOMDProfessional Counselor
2014028627MOMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2014028627 MO
Professional Counselor 101YP2500X 2015043407 MO Yes

Addresses

Primary practice location

103 N Business 60
Mansfield, MO 65704

Mailing address

PO Box 152
Mansfield, MO 65704-0152
Phone (417) 924-2326

Other identifiers

IdentifierTypeStateIssuer
1194067249MedicaidMO

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL www.facebook.com/AgapeCounselingServicesLLC Direct

Other providers in Mansfield, MO

All providers in Mansfield, MO · Professional Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.