Active NPI
Ryan Christopher Hansen, LPC, ATR-P
- Professional Counselor
- Streamwood, IL
National Provider Identifier
1508389792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.012522
- Practice address
- 900 S Park Blvd
Streamwood, IL 60107-2135 - Phone
- (630) 823-8323
- Fax
- (630) 855-3697
- NPI assigned
- Jul 20, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.012522 | IL | Primary |
Addresses
Primary practice location
900 S Park Blvd
Streamwood, IL 60107-2135
Mailing address
900 S Park Blvd
Streamwood, IL 60107-2135
Phone (630) 823-8323
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 |
|---|---|---|---|
| 178.012522 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1508389792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S PARK BLVD",
"city": "STREAMWOOD",
"state": "IL",
"postal_code": "601072135",
"telephone_number": "630-823-8323",
"fax_number": "630-855-3697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S PARK BLVD",
"city": "STREAMWOOD",
"state": "IL",
"postal_code": "601072135",
"telephone_number": "630-823-8323",
"fax_number": "630-855-3697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "RYAN",
"middle_name": "CHRISTOPHER",
"credential": "LPC, ATR-P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.012522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Streamwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.