Active NPI
Lisa Hansen, LCSW
- Mental Health Counselor
- Highland, NY
National Provider Identifier
1326440165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 075419-1
- Practice address
- 24 Main St
Highland, NY 12528-1408 - Phone
- (845) 430-4633
- NPI assigned
- Sep 24, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 075419-1 | NY | Primary |
Addresses
Primary practice location
24 Main St
Highland, NY 12528-1408
Mailing address
59 Carly Dr
Highland, NY 12528-2732
Phone (845) 430-4633
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 |
|---|---|---|---|
| 075419-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1326440165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 CARLY DR",
"city": "HIGHLAND",
"state": "NY",
"postal_code": "125282732",
"telephone_number": "845-430-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 MAIN ST",
"city": "HIGHLAND",
"state": "NY",
"postal_code": "125281408",
"telephone_number": "845-430-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "LISA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-24",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "075419-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.