Individual provider Active NPI

Pamela Elaine Hansen, LPC

  • Professional Counselor
  • Converse, TX
National Provider Identifier
1366676447
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
59542 Issued in TX
Practice address
5890 FM 1515 N
Converse, TX 78109-3521
Phone
(409) 692-6068
Fax
(210) 598-1910
NPI assigned
May 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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 59542 TX Primary

Addresses

Primary practice location

5890 FM 1515 N
Converse, TX 78109-3521

Mailing address

433 Kitty Hawk Road
Suite 211
Universal City, TX 78148-3829
Phone (409) 692-6068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250218003886 TX Practitioner - Mental Health Counselor 3779003991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

11207 Wild Pne
Suite 103
San Antonio, TX 78253-7293
Phone (888) 374-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59542TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center LLC, CurrentSince Dec 13, 2024 Accepting new patients
Family Care Center, LLC Professional CurrentSince Dec 13, 2024 Accepting new patients

Locations

551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314

11207 Wild Pne
Ste 103
San Antonio, TX 78253
Phone (210) 201-1603

Organizations & group practices 2

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": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1366676447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 KITTY HAWK ROAD",
            "address_2": "SUITE 211",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483829",
            "telephone_number": "409-692-6068",
            "fax_number": "210-598-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 FM 1515 N",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093521",
            "telephone_number": "409-692-6068",
            "fax_number": "210-598-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "PAMELA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "59542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Converse, TX

Sources for this page

Verify at the official NPI Registry.