Individual provider Active NPI

Howard Forde Hansell IV, MA, LPC

  • Professional Counselor
  • Erdenheim, PA
National Provider Identifier
1336790385
Registry record updated Sep 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005180 Issued in PA
Practice address
717 Bethlehem Pike
Erdenheim, PA 19038-8111
Phone
(215) 233-2425
NPI assigned
Sep 21, 2019
Last updated
Sep 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005180 PA Primary

Addresses

Primary practice location

717 Bethlehem Pike
Erdenheim, PA 19038-8111

Mailing address

7808 Flourtown Ave
Wyndmoor, PA 19038-8013
Phone (267) 216-8483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250825004275 PA Practitioner - Mental Health Counselor 1557861390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Optum Cir
Eden Prairie, MN 55344-2956

491 Allendale Rd
Suite 322
King of Prussia, PA 19406-1465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jun 8, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jun 8, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Current Accepting new patients

Locations

491 Allendale Rd
Ste 322
Kng of Prussa, PA 19406
Phone (215) 805-4092

7 Neshaminy Interplex Dr
Trevose, PA 19053

7 Neshaminy Interplex Dr
Ste 411
Trevose, PA 19053

Organizations & group practices 3

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": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569024000000",
    "number": "1336790385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 FLOURTOWN AVE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190388013",
            "telephone_number": "267-216-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 BETHLEHEM PIKE",
            "city": "ERDENHEIM",
            "state": "PA",
            "postal_code": "190388111",
            "telephone_number": "215-233-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSELL",
        "first_name": "HOWARD",
        "middle_name": "FORDE",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-21",
        "last_updated": "2019-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erdenheim, PA

Sources for this page

Verify at the official NPI Registry.