Individual provider Active NPI

Denise Nina De Lange-Hansen

  • Mental Health Counselor
  • Diamond Springs, CA
National Provider Identifier
1861560732
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCS4252 Issued in CA
Practice address
504 Main St
Diamond Springs, CA 95619-9109
Phone
(530) 642-0843
Fax
(530) 642-0843
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS4252 CA Primary

Addresses

Primary practice location

504 Main St
Diamond Springs, CA 95619-9109

Mailing address

PO Box 699
Lotus, CA 95651-0699
Phone (530) 642-0843

Other names 1

  • Mrs. Denise Nina De Lange-Hansen Professional name

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
LCS4252CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861560732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "LOTUS",
            "state": "CA",
            "postal_code": "956510699",
            "telephone_number": "530-642-0843",
            "fax_number": "530-642-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MAIN ST",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199109",
            "telephone_number": "530-642-0843",
            "fax_number": "530-642-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LANGE-HANSEN",
        "first_name": "DENISE",
        "middle_name": "NINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS4252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "DE LANGE-HANSEN",
            "middle_name": "NINA",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Diamond Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.