Individual provider Active NPI

Charles Allen Hanset Sr., CRM II

  • Substance Abuse Rehabilitation Facility
  • Vancouver, WA
National Provider Identifier
1912304734
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
12-CRM-070 Issued in OR
Practice address
1101 Broadway St Ste 130
Vancouver, WA 98660-3319
Phone
(503) 901-7471
NPI assigned
Nov 21, 2014
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 12-CRM-070 OR Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Peer Specialist 175T00000X 175T00000X - PEER OR

Addresses

Primary practice location

1101 Broadway St Ste 130
Vancouver, WA 98660-3319

Mailing address

1101 Broadway St Ste 130
Vancouver, WA 98660-3319
Phone (503) 901-7471

Other identifiers 1

IdentifierTypeStateIssuer
175T00000XOtherOR: 175T00000X PEER SPECIALIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
175T00000X - PEERORMDPeer Specialist
12-CRM-070ORMDSubstance Abuse Rehabilitation Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive2Survive CurrentSince Aug 25, 2025 Accepting new patients
Volunteers of America Inc. Substance Abuse Rehabilitation Facility PastSince Jul 9, 2016 Accepting new patients
Volunteers of America Past Accepting new patients

Locations

1101 Broadway St
Ste 130
Vancouver, WA 98660
Phone (360) 831-3118

Interoperability endpoints

  • Direct secure messaging: charles.hanset.p1@direct.voaor.nextgenshare.com

Organizations & group practices 3

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": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1912304734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BROADWAY ST STE 130",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603319",
            "telephone_number": "503-901-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BROADWAY ST STE 130",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603319",
            "telephone_number": "503-901-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSET",
        "first_name": "CHARLES",
        "middle_name": "ALLEN",
        "name_suffix": "Sr.",
        "credential": "CRM II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-21",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OR",
            "license": "12-CRM-070",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "175T00000X - PEER",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": ":  175T00000X PEER SPECIALIST",
            "identifier": "175T00000X",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.