Active NPI
Tyler Scott Hansen, ASUDC
- Addiction (Substance Use Disorder) Counselor
- Payson, UT
National Provider Identifier
1497221980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 10393114-6018
- Practice address
- 996 W 800 S
Payson, UT 84651-2766 - Phone
- (801) 465-5111
- Fax
- (801) 465-7762
- NPI assigned
- Oct 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10393114-6018 | UT | Primary |
Addresses
Primary practice location
996 W 800 S
Payson, UT 84651-2766
Mailing address
996 W 800 S
Payson, UT 84651-2766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10393114-6018 | Other | UT | CERTIFIED ADVANCED SUBSTANCE USE DISORDER COUNSELOR |
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 |
|---|---|---|---|
| 10393114-6018 | UT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1497221980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "996 W 800 S",
"city": "PAYSON",
"state": "UT",
"postal_code": "846512766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "996 W 800 S",
"city": "PAYSON",
"state": "UT",
"postal_code": "846512766",
"telephone_number": "801-465-5111",
"fax_number": "801-465-7762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "TYLER",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "ASUDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-23",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "UT",
"license": "10393114-6018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED ADVANCED SUBSTANCE USE DISORDER COUNSELOR",
"identifier": "10393114-6018",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Payson, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.