Individual provider Active NPI

Roshell Alisia Hanse, APC, NCC, CCTP

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1780172767
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC006389 Issued in GA
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

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
APC006389GAMDMental Health Counselor
P05297NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
T2S Enterprises, LLC Mental Health PastSince Apr 20, 2021 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.

Verify at the official NPI Registry.