Individual provider Active NPI

Rashidah Nicole Hansen, LPC

  • Mental Health Counselor
  • Toms River, NJ
National Provider Identifier
1831712769
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00853500 Issued in NJ
Practice address
31 Main St Ste 2
Toms River, NJ 08753-7463
Phone
(732) 908-2871
Fax
(732) 201-5094
NPI assigned
May 27, 2020
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00853500 NJ
Mental Health Counselor 101YM0800X 37PC00853500 NJ Primary

Addresses

Primary practice location

31 Main St Ste 2
Toms River, NJ 08753-7463

Mailing address

31 Main St Ste 2
Toms River, NJ 08753-7463
Phone (732) 908-2871

Other identifiers 1

IdentifierTypeStateIssuer
37PC00853500OtherNJDIVISION OF CONSUMER AFFAIRS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240224000300 NJ Practitioner - Mental Health Counselor 7012352586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17 Bryant Rd
Waretown, NJ 08758-2208

31 Main St
Suite 2
Toms River, NJ 08753-7463
Phone (732) 908-2871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00853500NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Integrative Counseling, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

31 Main St
Ste 2
Toms River, NJ 08753
Phone (732) 908-2871

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1831712769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MAIN ST STE 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537463",
            "telephone_number": "732-908-2871",
            "fax_number": "732-201-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MAIN ST STE 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537463",
            "telephone_number": "732-908-2871",
            "fax_number": "732-201-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "RASHIDAH",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00853500",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00853500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF CONSUMER AFFAIRS",
            "identifier": "37PC00853500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.