Individual provider Active NPI

Janet Elaine Hizar Hansford, PH.D., MFT

  • Marriage & Family Therapist
  • Peoria, AZ
National Provider Identifier
1255649778
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF16903 Issued in CA
Practice address
8574 N 107TH LN
Peoria, AZ 85345-3472
Phone
(661) 378-0216
NPI assigned
Sep 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF16903 CA Primary

Addresses

Primary practice location

8574 N 107TH LN
Peoria, AZ 85345-3472

Mailing address

PO Box 357
Kirkland, AZ 86332-0357
Phone (661) 378-0216

Other names 1

  • Dr. Jan Jorgensen Professional name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MF16903CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1255649778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "KIRKLAND",
            "state": "AZ",
            "postal_code": "863320357",
            "telephone_number": "661-378-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8574 N 107TH LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853453472",
            "telephone_number": "661-378-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIZAR HANSFORD",
        "first_name": "JANET",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PH.D., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MF16903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "JORGENSEN",
            "prefix": "DR.",
            "credential": "PH.D., MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.