Andrea Danielle Hanson, ACMHC

Individual provider Active NPI Mental Health Counselor · Bountiful, UT

NPI 1487179271 · NPPES record last updated May 15, 2020

Key facts

NPI
1487179271
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
7136856-6009 (UT)
Practice address
11 W 2750 S
Bountiful, UT 84010-6418
Phone
(801) 928-4833
NPI assigned
Aug 14, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7136856-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea D Hanson Lcmhc PLLC Current
since Aug 2, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7136856-6009 UT Yes

Addresses

Primary practice location

11 W 2750 S
Bountiful, UT 84010-6418

Mailing address

11 W 2750 S
Bountiful, UT 84010-6418

Other names

  • Andrea Danielle Hanson Professional name

Other providers in Bountiful, UT

All providers in Bountiful, UT · Mental Health Counselor in Utah

Sources for this page

Verify at the official NPI Registry.