Individual provider Active NPI

Vance Allen Hansen, NLT

  • Addiction (Substance Use Disorder) Counselor
  • Loveland, CO
National Provider Identifier
1609497379
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACD.0001939 Issued in CO
Practice address
1931 Boise Ave Ste 233
Loveland, CO 80538-4297
Phone
(970) 239-1210
NPI assigned
May 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001939 CO Primary

Addresses

Primary practice location

1931 Boise Ave Ste 233
Loveland, CO 80538-4297

Mailing address

1931 Boise Ave Ste 233
Loveland, CO 80538-4297
Phone (970) 239-1210

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

LicenseStateTypeSpecialty
ACD.0001939COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Waypoint 58 Incorporated Addiction (Substance Use Disorder) CurrentSince Jan 21, 2022 Accepting new patients
Colorado Psychedelic Therapy Current Accepting new patients

Locations

1931 Boise Ave
Ste 233
Loveland, CO 80538
Phone (970) 239-1210

Organizations & group practices 2

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": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1609497379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 BOISE AVE STE 233",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384297",
            "telephone_number": "970-239-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 BOISE AVE STE 233",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384297",
            "telephone_number": "970-239-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "VANCE",
        "middle_name": "ALLEN",
        "credential": "NLT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2022-01-13",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.