Organization Active NPI

The Hansen Foundation Inc

  • Addiction (Substance Use Disorder) Counselor
  • Galloway, NJ
National Provider Identifier
1801421649
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
THE HANSEN FOUNDATION INC
Practice address
4 E Jimmie Leeds Rd Ste 3
Galloway, NJ 08205-4465
Phone
(609) 965-3700
Fax
(609) 965-4666
NPI assigned
Mar 11, 2020
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Carrie Angelo
Title
Reimbursement Director
Phone
(609) 270-4006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

4 E Jimmie Leeds Rd Ste 3
Galloway, NJ 08205-4465

Mailing address

4 E Jimmie Leeds Rd Ste 3
Galloway, NJ 08205-4465
Phone (609) 965-3700

Other identifiers 1

IdentifierTypeStateIssuer
501MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Galloway Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1801421649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E JIMMIE LEEDS RD STE 3",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054465",
            "telephone_number": "609-965-3700",
            "fax_number": "609-965-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E JIMMIE LEEDS RD STE 3",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054465",
            "telephone_number": "609-965-3700",
            "fax_number": "609-965-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HANSEN FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2025-09-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "ANGELO",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "REIMBURSEMENT DIRECTOR",
        "authorized_official_telephone_number": "609-270-4006"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Galloway",
            "affiliation": "N",
            "endpointDescription": "Behavioral Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "4 E Jimmie Leeds Rd Ste 3",
            "city": "Galloway",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082054465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.