Shelley Kay Hansen, LSW, MA, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3954 Issued in MN

Practice address

105 4TH St E
Suite #302
Northfield, MN 55057-2047

Phone

(612) 532-6741

NPI assigned

Dec 19, 2006

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

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Shelley K Hansen, LSW, Ma, LP, LLC

  • Clinical Psychologist
  • Northfield, MN
  • NPI 1396084901
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1740343532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 4TH ST E",
            "address_2": "SUITE #302",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572047",
            "telephone_number": "612-532-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 4TH ST E",
            "address_2": "SUITE #302",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572047",
            "telephone_number": "612-532-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "SHELLEY",
        "middle_name": "KAY",
        "credential": "LSW, MA, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline E Halberg, FNP-C
• Craig Robert Hall, CRNA
• Courtney Ham, LADC
• Kenneth Longfellow Hanna II, LICSW
• Jill S Hansen, NP
• Peggy Hanson, PSYD
• Kathleen A Harrington, LICSW
• Jennifer Harris, LADC, LPCC
• Paul David Hart Ruthenbeck, LADC
• Harvest Seed Acupuncture

• Psychologist in Northfield, MN
• Providers in Northfield, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.