Organization Active NPI

Dr. Hunter Hansen, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Antonio, TX
National Provider Identifier
1386206605
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DR. HUNTER HANSEN, PLLC
Practice address
8626 Tesoro Dr Ste 490
San Antonio, TX 78217-6217
Phone
(210) 202-0100
NPI assigned
Jul 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Hunter HansenNPI 1760754501
Title
Receptionist
Phone
(210) 202-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

8626 Tesoro Dr Ste 490
San Antonio, TX 78217-6217

Mailing address

8626 Tesoro Dr Ste 490
San Antonio, TX 78217-6217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191112003405 TX Part B Supplier - Clinic/Group Practice 7810329893 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

8800 Village Dr
Ste 209
San Antonio, TX 78217
Phone (210) 202-0100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1386206605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8626 TESORO DR STE 490",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8626 TESORO DR STE 490",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176217",
            "telephone_number": "210-202-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HUNTER HANSEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "210-202-0100"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.