Individual provider Active NPI

Adam Michael Hanson, LPC

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1912497066
Registry record updated Dec 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007651 Issued in VA
Practice address
317 Office Square LN Ste 202B
Virginia Beach, VA 23462-3663
Phone
(757) 453-4081
NPI assigned
May 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701007651 VA Primary

Addresses

Primary practice location

317 Office Square LN Ste 202B
Virginia Beach, VA 23462-3663

Mailing address

519 New Jersey Ave
Norfolk, VA 23508-2718
Phone (757) 305-8586

Other identifiers 1

IdentifierTypeStateIssuer
601285484MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20241030002996 VA Practitioner - Mental Health Counselor 5698208551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

317 Office Square LN
Suite B202
Virginia Beach, VA 23462-3652
Phone (757) 453-4081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Norfolk Counseling Services, LLC Professional CurrentSince Aug 22, 2022 Accepting new patients
Kessler Psychological, LLC Past Accepting new patients

Locations

317 Office Square Ln
Ste B202
Virginia Beach, VA 23462
Phone (757) 301-1385

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703980800000",
    "number": "1912497066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 NEW JERSEY AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082718",
            "telephone_number": "757-305-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 OFFICE SQUARE LN STE 202B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623663",
            "telephone_number": "757-453-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2023-12-31",
        "certification_date": "2023-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601285484",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.