Tracy M Hansen, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

84261515298 Issued in ND

Practice address

5147 44TH St. S.
Fargo, ND 58104-6069

Phone

(701) 239-2567

Fax

(701) 540-0587

NPI assigned

Jan 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hansen Hearts Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fargo, ND
  • NPI 1609362888
  NPD Authorized official

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1861938128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5147 44TH ST. S.",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046069",
            "telephone_number": "701-239-2567",
            "fax_number": "701-540-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5147 44TH ST. S.",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046069",
            "telephone_number": "701-239-2567",
            "fax_number": "701-540-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "TRACY",
        "middle_name": "M",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2023-09-06",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "84261515298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1470012",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1475235",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Evelyn Hansen
• Molly Hansen
• Robert Hansen, LAC
• Sara B Hansen, NP-C
• Sarah Hansen
• Brooke Hansey
• Billie Hansmeier, APRN
• Amber Marie Hanson
• Andrea Marie Hanson
• Bailey June Hanson, PA

• Professional Counselor in Fargo, ND
• Providers in Fargo, ND by specialty
• Professional Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.