Melanie Ann Faustino Hansen

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

10374737-3902 Issued in UT

Practice address

2150 N Main St Ste 9
Logan, UT 84341-1740

Phone

(435) 932-0211

NPI assigned

May 25, 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

State licenses

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.

• Cache Valley Center for Couples and Families

  • Marriage & Family Therapist
  • Logan, UT
  • NPI 1720622145
  NPD

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1386172005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W 2965 S",
            "city": "NIBLEY",
            "state": "UT",
            "postal_code": "843216301",
            "telephone_number": "480-313-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N MAIN ST STE 9",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843411740",
            "telephone_number": "435-932-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MELANIE",
        "middle_name": "ANN FAUSTINO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "10374737-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Nichole Hansen
• Cassidy Hansen
• Gregory Scott Hansen, PHARMD
• Mark T Hansen, M.D.
• Melanie Hansen
• Nathan William Hanson, M.D.
• Eric Hanyak, DPT
• Emily Harames, FNP
• Dixi L Haramoto, APRN, FNP-C
• Rachel Lynn Haroldsen

• Marriage & Family Therapist in Logan, UT
• Providers in Logan, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.