Individual provider Active NPI

Raymond Alan Hansen, MA, LPC, LADC, CEAP

  • Addiction (Substance Use Disorder) Counselor
  • Avon, CT
National Provider Identifier
1730237389
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
000685 Issued in CT
Practice address
195 W Main St
Avon, CT 06001-3685
Phone
(860) 916-1170
Fax
(860) 843-4939
NPI assigned
Jan 8, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 001238 CT
Addiction (Substance Use Disorder) Counselor 101YA0400X 000685 CT Primary

Addresses

Primary practice location

195 W Main St
Avon, CT 06001-3685

Mailing address

PO Box 261
Simsbury, CT 06070-0261
Phone (860) 916-1170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240108004967 CT Practitioner - Mental Health Counselor 3476904046 Practice locations: Weatogue, CT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

245 Hopmeadow St
Weatogue, CT 06089-7903
Phone (860) 916-1170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
685CTMDAudiologist
001238CTMDPhysician Assistant
000685CTMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1730237389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060700261",
            "telephone_number": "860-916-1170",
            "fax_number": "860-843-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013685",
            "telephone_number": "860-916-1170",
            "fax_number": "860-843-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "RAYMOND",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MA, LPC, LADC, CEAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "001238",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.