Active NPI
Roshell Alisia Hanse, APC, NCC, CCTP
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1780172767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- APC006389
- Practice address
- 950 Marietta St NW
Atlanta, GA 30318-5595 - Phone
- (470) 210-7758
- NPI assigned
- Apr 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P05297 | NY | |
| Mental Health Counselor | 101YM0800X | APC006389 | GA | Primary |
Addresses
Primary practice location
950 Marietta St NW
Atlanta, GA 30318-5595
Mailing address
950 Marietta St NW
Atlanta, GA 30318-5595
Phone (470) 210-7758
Other practice location 1
2001 Martin Luther King Jr Dr SW Ste 540
Atlanta, GA 30310-1101
Phone (404) 914-4782 ext. 120
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 |
|---|---|---|---|
| APC006389 | GA | MD | Mental Health Counselor |
| P05297 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T2S Enterprises, LLC | Mental Health | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1780172767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 MARIETTA ST NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303185595",
"telephone_number": "470-210-7758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 MARIETTA ST NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303185595",
"telephone_number": "470-210-7758"
}
],
"practiceLocations": [
{
"address_1": "2001 Martin Luther King Jr Dr SW Ste 540",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303101101",
"country_code": "US",
"telephone_number": "404-914-4782 x120",
"fax_number": "404-914-4782",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSE",
"first_name": "ROSHELL",
"middle_name": "ALISIA",
"name_prefix": "Ms.",
"credential": "APC, NCC, CCTP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P05297",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC006389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.