Renee Jean Hancock, PROF COUNSELOR ASSOC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R11024 Issued in OR

Practice address

5778 Commercial St SE Ste 30
Salem, OR 97306-3079

Phone

(503) 573-1111

NPI assigned

Oct 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Renee Jean Hatchell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1386833234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5778 COMMERCIAL ST SE STE 30",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973063079",
            "telephone_number": "503-573-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5778 COMMERCIAL ST SE STE 30",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973063079",
            "telephone_number": "503-573-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "RENEE",
        "middle_name": "JEAN",
        "credential": "PROF COUNSELOR ASSOC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-25-5072",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R11024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "HATCHELL",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jodi Marie Hamre, QMHA, B.S.
• Alexis Mee-Sun Han
• Tiffany Han, PMHNP
• Davis Isami Hanai, PHARMD, RN
• Lucja Hancoch
• Ben Handrich
• Christopher Adam Handy
• Susan Theresa Haney, MD
• Hanger Prosthetics & Orthotics West Inc (Hanger Clinic)
• Hanger Prosthetics & Orthotics West Inc

• Mental Health Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.