Active NPI
Shaylie Hansen, SAC-IT
- Mental Health Counselor
- Juneau, WI
National Provider Identifier
1316757180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9026-226
- Practice address
- 199 County Road DF FL 3
Juneau, WI 53039-9512 - Phone
- (920) 386-3500
- Fax
- (920) 386-4564
- NPI assigned
- Jan 13, 2025
- Last updated
- Oct 1, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17354-132 | WI | |
| Mental Health Counselor | 101YM0800X | 9026-226 | WI | Primary |
Addresses
Primary practice location
199 County Road DF FL 3
Juneau, WI 53039-9512
Mailing address
610 W Burnett St
Beaver Dam, WI 53916-1656
Phone (920) 296-6770
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 |
|---|---|---|---|
| 19793-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alarus Healthcare, LLC | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Grafton, WI
- NPI 1457788242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1316757180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 W BURNETT ST",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539161656",
"telephone_number": "920-296-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 COUNTY ROAD DF FL 3",
"city": "JUNEAU",
"state": "WI",
"postal_code": "530399512",
"telephone_number": "920-386-3500",
"fax_number": "920-386-4564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "SHAYLIE",
"name_prefix": "Mrs.",
"credential": "SAC-IT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-13",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "17354-132",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "9026-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Juneau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.