Individual provider Active NPI

Linda Polansky Hanson, LPC

  • Professional Counselor
  • Pottsville, PA
National Provider Identifier
1609603638
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC017590 Issued in PA
Practice address
396 S Centre St Ste 3
Pottsville, PA 17901-3597
Phone
(570) 990-5078
Fax
(570) 516-9344
NPI assigned
Sep 16, 2024
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X PC017590 PA
Mental Health Counselor 101YM0800X PC017590 PA
Professional Counselor 101YP2500X PC017590 PA Primary

Addresses

Primary practice location

396 S Centre St Ste 3
Pottsville, PA 17901-3597

Mailing address

107 Hillside Vista Dr
Pine Grove, PA 17963-1165
Phone (570) 292-0165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241024003438 PA Practitioner - Mental Health Counselor 5395278683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Social Worker Associates IncGroup PAC ID 8325336399, 6 clinicians

Practice addresses (Care Compare)

396 S Centre St
Suite 3
Pottsville, PA 17901-3597
Phone (570) 640-3744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC017590PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Social Worker Associates, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Clinical Outcomes Group, Inc. PastSince Sep 1, 2024 Accepting new patients

Locations

396 S Centre St
Ste 3
Pottsville, PA 17901
Phone (570) 573-0247

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/coginc/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1609603638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HILLSIDE VISTA DR",
            "city": "PINE GROVE",
            "state": "PA",
            "postal_code": "179631165",
            "telephone_number": "570-292-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 S CENTRE ST STE 3",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013597",
            "telephone_number": "570-990-5078",
            "fax_number": "570-516-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "LINDA",
        "middle_name": "POLANSKY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PC017590",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC017590",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.