Individual provider Active NPI

Russell Andrew Hansen, MS

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1881606614
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
143 Issued in NE
Practice address
5539 S 27TH St Ste 206
Lincoln, NE 68512-1600
Phone
(402) 423-3600
Fax
(402) 423-3690
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

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 143 NE Primary

Addresses

Primary practice location

5539 S 27TH St Ste 206
Lincoln, NE 68512-1600

Mailing address

7250 Revere LN
Lincoln, NE 68516-2620
Phone (402) 421-9559

Other identifiers 1

IdentifierTypeStateIssuer
47081808326MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20240127000373 NE Practitioner - Mental Health Counselor 0840643763 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
143NEMDMarriage & Family Therapist
27NEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Russ Hansen MSPC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1617 Normandy Ct
Ste 100
Lincoln, NE 68512
Phone (402) 420-1617

11401 S 70th St
Lincoln, NE 68516
Phone (402) 420-2888

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881606614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 REVERE LN",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685162620",
            "telephone_number": "402-421-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5539 S 27TH ST STE 206",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121600",
            "telephone_number": "402-423-3600",
            "fax_number": "402-423-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "RUSSELL",
        "middle_name": "ANDREW",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47081808326",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.