Active NPI
Charles Allen Hanset Sr., CRM II
- Substance Abuse Rehabilitation Facility
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 12-CRM-070
- Practice address
- 1101 Broadway St Ste 130
Vancouver, WA 98660-3319 - Phone
- (503) 901-7471
- NPI assigned
- Nov 21, 2014
- Last updated
- Sep 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175T00000X | Other | OR | : 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
| License | State | Type | Specialty |
|---|---|---|---|
| 175T00000X - PEER | OR | MD | Peer Specialist |
| 12-CRM-070 | OR | MD | Substance Abuse Rehabilitation Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive2Survive | Current | Accepting new patients | |
| Volunteers of America Inc. | Substance Abuse Rehabilitation Facility | Past | 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
- 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.
-
dba Pacific Northwest Grassroots Recovery
- Case Management Agency
- Vancouver, WA
- NPI 1962292383
-
- Case Management Agency
- Portland, OR
- NPI 1558897710
-
dba Volunteers Of America Of Oregon Inc.
- Contractor
- Portland, OR
- NPI 1376611418
Substance Abuse Rehabilitation Facility
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.