Larissa Faye Stratton-Hanson, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0520076 Issued in MI

Practice address

104 Malton Road
Negaunee, MI 49866

Phone

(609) 228-4692

NPI assigned

Aug 14, 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

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.

• Great Lakes Recovery Centers

  • Children's Substance Abuse Rehabilitation Facility
  • Negaunee, MI
  • NPI 1669899241
  NPD (past)
• Great Lakes Recovery Centers

  • Substance Abuse Rehabilitation Facility
  • Ironwood, MI
  • NPI 1821267956
  NPD (past)

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1477079218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MALTON RD",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498662000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MALTON ROAD",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "49866",
            "telephone_number": "609-228-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATTON-HANSON",
        "first_name": "LARISSA",
        "middle_name": "FAYE",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "0520076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lee Smith, RN
• Pamela Smith, LPN
• St Isabellas Home Health & Hospice
• Jonathen Ben Starr, CADC, BA CRIMINAL JU
• Jeremy M Steele, PA
• Tracey Rae Symons, LPN
• Brooke Eloise Tharp
• Tinkerbell Inc.
• Joslyn Brook Todd
• Carole Louise Touchinski

• Addiction (Substance Use Disorder) Counselor in Negaunee, MI
• Providers in Negaunee, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.