Candace Hanson, M.A.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1112 Issued in WV

Practice address

41 W 5TH Ave
Williamson, WV 25661-3201

Phone

(304) 235-3390

Fax

(304) 235-3391

NPI assigned

Aug 5, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Liberty Counseling

  • Counseling Psychologist
  • Williamson, WV
  • NPI 1356839112
  NPD Authorized official
• Professional Counseling Associates, Inc.

  • Psychologist
  • Williamson, WV
  • NPI 1720143555
  NPD (past)

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1932585619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 W 5TH AVE",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613201",
            "telephone_number": "304-235-3390",
            "fax_number": "304-235-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 W 5TH AVE",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613201",
            "telephone_number": "304-235-3390",
            "fax_number": "304-235-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "CANDACE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Hall, RN
• Misty Dawn Hall
• Robert Lee Hall II
• Melissa Halley
• Kenneth Hambrick
• Richard Hanson
• Jessica Danielle Hardin, PA-C
• Adam Hatfield, BS
• Brian Anthony Hatfield, OTR
• Crystal Hatfield, LPN

• Clinical Psychologist in Williamson, WV
• Providers in Williamson, WV by specialty
• Clinical Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.