Individual provider Active NPI

Waithira Wanyee Hansen

  • Mental Health Counselor
  • Destin, FL
National Provider Identifier
1891497384
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21945 Issued in FL
Practice address
215 Mountain Dr Ste 106
Destin, FL 32541-2346
Phone
(850) 837-9100
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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 MH21945 FL Primary

Addresses

Primary practice location

215 Mountain Dr Ste 106
Destin, FL 32541-2346

Mailing address

123 Wright Cir
Niceville, FL 32578-4231
Phone (781) 864-5133

Other names 1

  • Waithira Wanyee Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 14, 2025 through Aug 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH21945FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Counseling Center PA Mental Health CurrentSince Mar 26, 2023 Accepting new patients

Locations

215 Mountain Dr
Ste 106
Destin, FL 32541
Phone (850) 837-9100

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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1891497384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WRIGHT CIR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325784231",
            "telephone_number": "781-864-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MOUNTAIN DR STE 106",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412346",
            "telephone_number": "850-837-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "WAITHIRA",
        "middle_name": "WANYEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WAITHIRA",
            "last_name": "WANYEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Destin, FL

Sources for this page

Verify at the official NPI Registry.