Vivian R Hansen, BS,CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00000011 Issued in WA

Practice address

24823 Pacific Hwy S
Kent, WA 98032-5478

Phone

(253) 681-0010

Fax

(253) 681-0014

NPI assigned

Feb 29, 2012

Last updated

Feb 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1619241205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24823 PACIFIC HWY S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325478",
            "telephone_number": "253-681-0010",
            "fax_number": "253-681-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24823 PACIFIC HWY S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325478",
            "telephone_number": "253-681-0010",
            "fax_number": "253-681-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "VIVIAN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "BS,CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00000011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "12345",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zalla Hanifzai
• Seth Hanke
• Holli Hanks
• Anna Hanover
• Hilary Marie Hansen, CAAR
• Bobbi Joan Hanson
• Bruce W Hanson, DDS
• Christopher Hanson
• Jacquelyn Happel
• Happy Heart Homecare

• Addiction (Substance Use Disorder) Counselor in Kent, WA
• Providers in Kent, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.