Individual provider Active NPI

Grace Hanson

  • Mental Health Counselor
  • Greenwood, IN
National Provider Identifier
1295304640
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
99100620A Issued in IN
Practice address
435 E Main St
Greenwood, IN 46143-1384
Phone
(317) 743-8202
NPI assigned
Jun 21, 2021
Last updated
Jun 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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 99100620A IN Primary

Addresses

Primary practice location

435 E Main St
Greenwood, IN 46143-1384

Mailing address

449 Southgate Dr
Greenwood, IN 46143-1206
Phone (260) 609-0954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 28, 2024 through Jun 28, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
99100620AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Counseling Services, LLC CurrentSince Apr 11, 2021 Accepting new patients

Locations

200 Byrd Way
Ste 155
Greenwood, IN 46143
Phone (317) 599-2624

435 E Main St
Ste 200
Greenwood, IN 46143
Phone (317) 473-8202

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1295304640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 SOUTHGATE DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431206",
            "telephone_number": "260-609-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431384",
            "telephone_number": "317-743-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "99100620A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.