Individual provider Active NPI

Carol Lynn Hansen, LPC

  • Mental Health Counselor
  • Cadillac, MI
National Provider Identifier
1285082107
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401223040 Issued in MI
Practice address
2604 Sunnyside Dr Ste 203&205
Cadillac, MI 49601-8749
Phone
(231) 667-0473
NPI assigned
Jun 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401223040 MI Primary

Addresses

Primary practice location

2604 Sunnyside Dr Ste 203&205
Cadillac, MI 49601-8749

Mailing address

2604 Sunnyside Drive
203 & 205
Cadillac, MI 49601-8749
Phone (231) 667-0473

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
6401223040MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carol L Hansen LPC PLLC Mental Health CurrentSince Jul 9, 2025 Accepting new patients

Locations

2604 Sunnyside Dr
Ste 203205
Cadillac, MI 49601
Phone (231) 667-0473

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1285082107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 SUNNYSIDE DRIVE",
            "address_2": "203 & 205",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018749",
            "telephone_number": "231-667-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 SUNNYSIDE DR STE 203&205",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018749",
            "telephone_number": "231-667-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401223040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.