Active NPI
Melanie E Hansen, LPC
- Counselor
- Fort Worth, TX
National Provider Identifier
1790835064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 20288
- Practice address
- 1002 Montgomery St Ste 200
Ft Worth, TX 76107-2693 - Phone
- (214) 943-9431
- Fax
- (214) 943-9407
- NPI assigned
- Jan 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 20288 | TX | Primary |
Addresses
Primary practice location
1002 Montgomery St Ste 200
Ft Worth, TX 76107-2693
Mailing address
PO Box 226656
Dallas, TX 75222-6656
Phone (214) 943-9431
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84971L | Other | TX | BCBS |
| 84973L | Other | TX | BCBS |
| 84970L | Other | TX | BCBS |
| 84968L | Other | TX | BCBS |
| 84969L | Other | TX | BCBS |
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 |
|---|---|---|---|
| 20288 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790835064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 226656",
"city": "DALLAS",
"state": "TX",
"postal_code": "752226656",
"telephone_number": "214-943-9431",
"fax_number": "214-943-9407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 MONTGOMERY ST STE 200",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761072693",
"telephone_number": "214-943-9431",
"fax_number": "214-943-9407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "MELANIE",
"middle_name": "E",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "20288",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "84971L",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "84973L",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "84970L",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "84968L",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "84969L",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.