Individual provider Active NPI

Heather Hanson, LMFT

  • Marriage & Family Therapist
  • Placerville, CA
National Provider Identifier
1740611912
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
69884 Issued in CA
Practice address
941 Spring St Ste 5
Placerville, CA 95667-4546
Phone
(530) 341-8772
Fax
(530) 698-5241
NPI assigned
Dec 12, 2013
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 69884 CA Primary

Addresses

Primary practice location

941 Spring St Ste 5
Placerville, CA 95667-4546

Mailing address

941 Spring St Ste 5
Placerville, CA 95667-4546
Phone (562) 619-1973

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

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services Associates a Professional Psychological Corporat Marriage & Family Therapist CurrentSince Jul 24, 2022 Accepting new patients
Cameron Park Counseling Center Past Accepting new patients
Cameron Park Counseling Center, Inc. PastSince May 26, 2010 Accepting new patients

Locations

941 Spring St
Ste 5
Placerville, CA 95667
Phone (530) 341-8772

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1740611912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 SPRING ST STE 5",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674546",
            "telephone_number": "562-619-1973",
            "fax_number": "530-698-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 SPRING ST STE 5",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674546",
            "telephone_number": "530-341-8772",
            "fax_number": "530-698-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "HEATHER",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "69884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.