Teresa Lynn Hansen, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

211 E Coeur D Alene Ave
Coeur D Alene, ID 83814-4926

Phone

(208) 699-6817

NPI assigned

Oct 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Teresa Lynn Mayfield Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1558961904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 N WOLFE PENN ST",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990195058",
            "telephone_number": "509-843-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E COEUR D ALENE AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144926",
            "telephone_number": "208-699-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "MAYFIELD",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jean M Hansen, PHARMACIST
• Jennifer Hansen
• Karla Leeann Hansen, ARNP
• Sheila Hansen
• Shelly Kay Hansen, LCSW
• Amber Hanson
• Carl L Hanson, MD
• Melissa Hanson, CST, CSFA
• Paige A Harder, RN /NP
• Kimberly M Hardwick, ARNP

• Mental Health Counselor in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.