Individual provider Active NPI

Synthia Dawn Hansen, LPC

  • Professional Counselor
  • Bluffton, SC
National Provider Identifier
1508017203
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9300 Issued in SC
Practice address
25 Clark Summit Dr
Bluffton, SC 29910-4205
Phone
(843) 473-8213
Fax
(843) 582-0261
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 9300 SC Primary
Professional Counselor 101YP2500X 180.007359 IL
Professional Counselor 101YP2500X LPC015156 GA

Addresses

Primary practice location

25 Clark Summit Dr
Bluffton, SC 29910-4205

Mailing address

19 Anthem Dr
Bluffton, SC 29910-4576
Phone (843) 473-8213

Other practice location 1

206 W 5th St
Metropolis, IL 62960-1810
Phone (618) 524-9368 ext. 210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260615001381 SC Practitioner - Mental Health Counselor 2264904911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19 Anthem Dr
Bluffton, SC 29910-4576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC015156GAMDProfessional Counselor
180.007359ILMDProfessional Counselor
9300SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seagrass Psychoeducational Solutions LLC CurrentSince May 6, 2026 Accepting new patients

Locations

25 Clark Summit Dr
Ste 103
Bluffton, SC 29910
Phone (843) 473-8213

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.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1508017203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ANTHEM DR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104576",
            "telephone_number": "843-473-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CLARK SUMMIT DR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104205",
            "telephone_number": "843-473-8213",
            "fax_number": "843-582-0261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Metropolis",
            "state": "IL",
            "postal_code": "629601810",
            "country_code": "US",
            "telephone_number": "618-524-9368 x210",
            "fax_number": "618-524-9551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "SYNTHIA",
        "middle_name": "DAWN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "9300",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007359",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC015156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.