Active NPI
Natalie Josephine Hanson, LPC, SAC-IT
- Professional Counselor
- Glendale, WI
National Provider Identifier
1194293092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4119-226
- Practice address
- 6789 N Green Bay Ave # M2-T2
Glendale, WI 53209-3472 - Phone
- (414) 395-0118
- NPI assigned
- Nov 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 4119-226 | WI | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18673-130 | WI |
Addresses
Primary practice location
6789 N Green Bay Ave # M2-T2
Glendale, WI 53209-3472
Mailing address
8415 N Pelican LN
River Hills, WI 53217-2059
Phone (262) 977-0119
Other practice location 1
8825 S Howell Ave
Oak Creek, WI 53154-3760
Phone (262) 780-1020
Other names 1
- Natalie Josephine Buelow, Minturn
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 |
|---|---|---|---|
| 18673-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 4119-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prevail Therapy Group LLC | Professional | Current | Accepting new patients |
| Transcendence Therapy Group LLC | Professional | Current | Accepting new patients |
| Natalie Hanson Counseling LLC | Professional | Current | Accepting new patients |
Locations
6789 N Green Bay Ave
#M2T2
Glendale, WI 53209
Phone (414) 395-0118
155 E Silver Spring Dr
Ste 206
Whitefish Bay, WI 53217
Phone (414) 885-0033
Organizations & group practices 3
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.
-
- Professional Counselor
- Whitefish Bay, WI
- NPI 1790424752
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627084800000",
"number": "1194293092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8415 N PELICAN LN",
"city": "RIVER HILLS",
"state": "WI",
"postal_code": "532172059",
"telephone_number": "262-977-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6789 N GREEN BAY AVE # M2-T2",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532093472",
"telephone_number": "414-395-0118"
}
],
"practiceLocations": [
{
"address_1": "8825 S Howell Ave",
"address_purpose": "LOCATION",
"city": "Oak Creek",
"state": "WI",
"postal_code": "531543760",
"country_code": "US",
"telephone_number": "262-780-1020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSON",
"first_name": "NATALIE",
"middle_name": "JOSEPHINE",
"credential": "LPC, SAC-IT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-08",
"last_updated": "2021-07-24",
"certification_date": "2021-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4119-226",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "18673-130",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATALIE",
"last_name": "BUELOW, MINTURN",
"middle_name": "JOSEPHINE",
"credential": "NONE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.