Siri E Hansen, LCPC
Individual provider Active NPI Professional Counselor · Roselle, IL
NPI 1801968870 · NPPES record last updated Feb 26, 2024
Key facts
- NPI
- 1801968870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180.000433 (IL)
- Practice address
- 629 Catino CT
Roselle, IL 60172-3014 - Phone
- (630) 351-5118
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.000433 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siri E. Hansen, LCPC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.000433 | IL | Yes |
Addresses
Primary practice location
629 Catino CT
Roselle, IL 60172-3014
Mailing address
629 Catino CT
Roselle, IL 60172-3014
Phone (630) 351-5118
Other providers in Roselle, IL
- Becky A Gradl
- Grounded Growth Counseling Services PLLC
- Grove Counseling Inc
- Christy Lynn Gunnells
- Samantha Nicole Hamilton
- Harjinder Khaira D.M.D. & Associates PC
- Syed S Hashmi
- Jacqueline Marie Hassenplug
- Joan M Hilby
- Christopher Ho
All providers in Roselle, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.