Active NPI
Evangeline F Hansen, L.P.C.
- Mental Health Counselor
- Grand Junction, CO
National Provider Identifier
1669660742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4372
- Practice address
- 1000 N 9TH St Ste 6
Grand Junction, CO 81501-3107 - Phone
- (970) 257-1805
- NPI assigned
- Oct 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4372 | CO | Primary |
Addresses
Primary practice location
1000 N 9TH St Ste 6
Grand Junction, CO 81501-3107
Mailing address
1000 N 9TH St Ste 6
P.O. Box 4424
Grand Junction, CO 81501-3107
Phone (970) 257-1805
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4372 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192320000000",
"number": "1669660742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N 9TH ST STE 6",
"address_2": "P.O. BOX 4424",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815013107",
"telephone_number": "970-257-1805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N 9TH ST STE 6",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815013107",
"telephone_number": "970-257-1805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "EVANGELINE",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-14",
"last_updated": "2007-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "4372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.