Jennifer Hansen, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

015045

Practice address

42 Lucy Loop
Staten Island, NY 10312-3660

Phone

(718) 984-9022

NPI assigned

Nov 5, 2008

Sex

Female

Sole proprietor

Yes

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

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.

• Memory Path Wellness LLC

  • Speech-Language Pathologist
  • Staten Island, NY
  • NPI 1538075197
  NPD (past) Authorized official

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750550400000",
    "number": "1871747766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 LUCY LOOP",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123660",
            "telephone_number": "718-967-6244",
            "fax_number": "718-967-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 LUCY LOOP",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123660",
            "telephone_number": "718-984-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "JENNIFER",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2025-06-22",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015045",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "015045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Hannan
• Mary Susan Hannan, FNP
• Ellen Hannon, R.N.
• Chloe Jeannette Hansen-Augello, LMHC
• Francine Hansen, LMHC
• Kristen Anne Hansen, M.S. OTR/L
• Nancy Hansen, MS IN EDUCATION
• Audra Yvette Hansley
• Melissa Hanson Price, DPT
• Donna Marie Hanson-Brown, MED,CCC-SP

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2025; 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.