Individual provider Active NPI

Mike Hanson

  • Clinical Social Worker
  • Overland Park, KS
National Provider Identifier
1891724373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1526 Issued in KS
Practice address
4500 College Blvd
Suite 304
Overland Park, KS 66211-1799
Phone
(913) 338-0400
Fax
(913) 338-0428
NPI assigned
Jun 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Clinical Social Worker 1041C0700X 1526 KS Primary

Addresses

Primary practice location

4500 College Blvd
Suite 304
Overland Park, KS 66211-1799

Mailing address

4500 College Blvd
Suite 304
Overland Park, KS 66211-1799
Phone (913) 338-0400

Other identifiers 1

IdentifierTypeStateIssuer
24767017OtherMOBC&BS OF KC

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 Mar 1, 2016 through Mar 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1526KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Psychiatric Group Past Accepting new patients
JM Counseling Service LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891724373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 COLLEGE BLVD",
            "address_2": "SUITE 304",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111799",
            "telephone_number": "913-338-0400",
            "fax_number": "913-338-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 COLLEGE BLVD",
            "address_2": "SUITE 304",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111799",
            "telephone_number": "913-338-0400",
            "fax_number": "913-338-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "MIKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC&BS OF KC",
            "identifier": "24767017",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.