Individual provider Active NPI

Hans Gunnar Rasmussen

  • Mental Health Counselor
  • Wilsonville, OR
National Provider Identifier
1801637533
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R9145 Issued in OR
Practice address
28925 SW Boberg Rd
Wilsonville, OR 97070-8218
Phone
(360) 952-4602
NPI assigned
Jun 5, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R9145 OR Primary

Addresses

Primary practice location

28925 SW Boberg Rd
Wilsonville, OR 97070-8218

Mailing address

3373 Pioneer Dr SE
Salem, OR 97302-3313
Phone (503) 510-5721

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
R9145ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A New Life Christian Counseling & Consultation Mental Health CurrentSince Jun 9, 2024 Accepting new patients

Locations

28925 SW Boberg Rd
Wilsonville, OR 97070
Phone (360) 952-4602

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": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1801637533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3373 PIONEER DR SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973023313",
            "telephone_number": "503-510-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28925 SW BOBERG RD",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708218",
            "telephone_number": "360-952-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "HANS",
        "middle_name": "GUNNAR",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R9145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.