Active NPI
Jennifer Hansen, MFTA
- Marriage & Family Therapist
- Louisville, KY
National Provider Identifier
1487499554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 292502
- Practice address
- 802 Stone Creek Pkwy Ste 1a
Louisville, KY 40223-5393 - Phone
- (502) 653-7211
- NPI assigned
- Jun 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 292502 | KY | Primary |
Addresses
Primary practice location
802 Stone Creek Pkwy Ste 1a
Louisville, KY 40223-5393
Mailing address
6008 Concord Ave
Crestwood, KY 40014-9511
Phone (502) 974-1387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292502 | KY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Counseling, LLC | Current | Accepting new patients |
Locations
802 Stone Creek Pkwy
Ste 1A
Louisville, KY 40223
Phone (502) 653-7211
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.
-
- Community/Behavioral Health Agency
- Louisville, KY
- NPI 1437699428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1487499554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6008 CONCORD AVE",
"city": "CRESTWOOD",
"state": "KY",
"postal_code": "400149511",
"telephone_number": "502-974-1387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 STONE CREEK PKWY STE 1A",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235393",
"telephone_number": "502-653-7211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "JENNIFER",
"credential": "MFTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-28",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "292502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.