Tyler Hansen, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6520 Issued in WI

Practice address

1000 N 92ND St
Milwaukee, WI 53226-3533

Phone

(414) 259-1414

NPI assigned

Jan 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• KGH Consultation & Treatment, Inc.

  • Behavior Analyst
  • Deerfield, IL
  • NPI 1073840740

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1811527088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N 92ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263533",
            "telephone_number": "414-259-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N 92ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263533",
            "telephone_number": "414-259-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3113 W Beltline Hwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537132934",
            "country_code": "US",
            "telephone_number": "608-819-6810",
            "fax_number": "224-258-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "TYLER",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-16",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WI",
            "license": "RBT-19-101136",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "6520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela M Hansen, MSW
• Rebecca M Hansen, M.S. SLP CFY
• Samantha Hansen
• Shelley Hansen, MPT
• Taylor C Hansen, RN
• Victoria M Hansen, BSN, RN
• Vincent J Hansen
• Alessandria Hanson
• Alison M Hanson, RD, CD, CNSC
• Alison Theresa Hanson, RD, CSO, CD

• Speech-Language Pathologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.