NPIMap

Organization Active NPI

3C Hansons

Doing business as Canopy Mental Health & Consulting

  • Mental Health Counselor
  • Richfield, MN
National Provider Identifier
1780221887
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
3C HANSONS
Doing business as
Canopy Mental Health & Consulting
Practice address
6625 Lyndale Ave S Ste 440
Richfield, MN 55423-2380
Phone
(612) 712-7200
NPI assigned
Dec 8, 2019
Last updated
Oct 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Candace Hanson, MA, LPCCNPI 1376089532
Title
Psychotherapist
Phone
(612) 712-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6625 Lyndale Ave S Ste 440
Richfield, MN 55423-2380

Mailing address

6625 Lyndale Ave S Ste 440
Richfield, MN 55423-2380
Phone (612) 712-7200

Other names 1

  • Canopy Mental Health & Consulting Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211220001690 MN Part B Supplier - Clinic/Group Practice 1850795113 Receives reassigned benefits from 4 practitioners
Practice locations: Minneapolis, MN; Richfield, MN

National Provider Directory

National Provider Directory

Locations

615 1st Ave NE
Ste 505
Minneapolis, MN 55413
Phone (612) 202-4958

6625 Lyndale Ave S
Ste 440
Richfield, MN 55423
Phone (612) 712-7200

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1575763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1780221887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 LYNDALE AVE S STE 440",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232380",
            "telephone_number": "612-712-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 LYNDALE AVE S STE 440",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232380",
            "telephone_number": "612-712-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3C HANSONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-08",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "612-712-7200",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canopy Mental Health & Consulting",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Canopy Mental Health & Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.