Active NPI
Marilsa Hansen, LPC
- Counselor
- Monona, WI
National Provider Identifier
1770926446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 4572-125
- Practice address
- 6320 Monona Dr
Monona, WI 53716-3952 - Phone
- (608) 467-9074
- NPI assigned
- Apr 12, 2013
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4572-125 | WI | Primary |
Addresses
Primary practice location
6320 Monona Dr
Monona, WI 53716-3952
Mailing address
5203 N Autumn LN
MC Farland, WI 53558-8612
Phone (608) 838-7931
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 |
|---|---|---|---|
| 4572-125 | WI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yahara Counseling Center, LLC | Counselor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Monona, WI
- NPI 1003168139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365724800000",
"number": "1770926446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5203 N AUTUMN LN",
"city": "MC FARLAND",
"state": "WI",
"postal_code": "535588612",
"telephone_number": "608-838-7931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320 MONONA DR",
"city": "MONONA",
"state": "WI",
"postal_code": "537163952",
"telephone_number": "608-467-9074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "MARILSA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-12",
"last_updated": "2013-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "4572-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.