Candace Latanya Hanson, M.A., LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1212 Issued in MN

Practice address

109 N Shore Dr
Waverly, MN 55390-5517

Phone

(763) 658-5810

NPI assigned

Jan 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• 3C Hansons

  • Mental Health Counselor
  • Richfield, MN
  • NPI 1780221887
  NPD Authorized official

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1376089532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 PENNSYLVANIA AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554262042",
            "telephone_number": "918-770-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N SHORE DR",
            "city": "WAVERLY",
            "state": "MN",
            "postal_code": "553905517",
            "telephone_number": "763-658-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "CANDACE",
        "middle_name": "LATANYA",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C10202017363071
• Amanda Decker
• Early Bird Outcomes, Inc.
• Emf Webz LLC
• Cindy Grangroth
• Timarie Leahy, RN
• New Beginings at Waverly, LLC
• New Beginnings at Waverly, LLC
• New Beginnings Waverly LLC
• New Beginnings Waverly LLC

• Professional Counselor in Waverly, MN
• Providers in Waverly, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.