Individual provider Active NPI

Hanna Clement Hanson, LMFT

  • Marriage & Family Therapist
  • Carlsbad, CA
National Provider Identifier
1194090266
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
84870 Issued in CA
Practice address
785 Grand Ave Ste 220
Carlsbad, CA 92008-2371
Phone
(760) 315-0653
NPI assigned
Mar 21, 2012
Last updated
Apr 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 68059 CA
Marriage & Family Therapist 106H00000X 84870 CA Primary

Addresses

Primary practice location

785 Grand Ave Ste 220
Carlsbad, CA 92008-2371

Mailing address

849 Loganberry CT
San Marcos, CA 92069-1845
Phone (760) 315-0653

Other practice location 1

17701 San Pasqual Valley Rd
Escondido, CA 92025-5301
Phone (760) 741-4300

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

LicenseStateTypeSpecialty
84870CAMDClinical Social Worker
IMF 68059CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1194090266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 LOGANBERRY CT",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691845",
            "telephone_number": "760-315-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 GRAND AVE STE 220",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082371",
            "telephone_number": "760-315-0653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17701 San Pasqual Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920255301",
            "country_code": "US",
            "telephone_number": "760-741-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "HANNA",
        "middle_name": "CLEMENT",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 68059",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "84870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.