John C Hanson, SUDP-T

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

10305 E Montgomery Dr
Spokane Valley, WA 99206-4220

Phone

(206) 605-2209

NPI assigned

Dec 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Sequoia Detox Centers LLC

  • Substance Abuse Rehabilitation Facility
  • Spokane Valley, WA
  • NPI 1487289567
  NPD

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1639775109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 S NAPA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236448",
            "telephone_number": "509-981-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 E MONTGOMERY DR",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064220",
            "telephone_number": "206-605-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "SUDP-T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole A Hannibal, DO
• Cydney Hanrahan
• Sandrene Hansen-Pinckney
• Chrystal Rose Hansen
• Joanna Hanson
• Olivia E Hanson, LICENSED MIDWIFE
• Taylor G Hanson, MA 60645888
• Tina M Hanson, COTA/L
• Kendra Hansonl, MSW
• Robin C Hardaway

• Addiction (Substance Use Disorder) Counselor in Spokane Valley, WA
• Providers in Spokane Valley, 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 Dec 9, 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.