HEIDI ANN HANSEN (NPI# 1023523230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023523230 |
| Entity Type | Individual |
| Full Name | HEIDI ANN HANSEN |
| Practice Address |
505 S 12th Ave W Ste 1 Virginia MN 55792-2001 |
| Practice Telephone | 2187492877 |
| Practice Fax Number | 2187496033 |
| Mailing Telephone | 2187492877 |
| Mailing Fax Number | 2187496033 |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303986 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1619984028 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669096806 | Heidi Jane Hansen | Physical Medicine & Rehabilitation | 1 Kennedy Dr # U3-4, South Burlington, VT 05403-7152 | 2020-06-03 |
| 1053790667 | Heidi Hansen | Speech-Language Pathologist | 9 Summit Avenue, Suite B, Asheville, NC 28803-1938 | 2015-05-28 |
| 1548415912 | Heidi Lea Hansen | Speech-Language Pathologist | 47 Priscilla Ln, Port Chester, NY 10573-2316 | 2008-11-26 |
| 1225249238 | Heidi Hansen | Massage Therapist | 180 N 100 E, Suite H, Richfield, UT 84701-2132 | 2007-05-24 |
| 1992771984 | Heidi Hansen | Chiropractor | 710 W Lawrence Ave, Charlotte, MI 48813-1326 | 2006-02-28 |
| 1669978045 | Heidi Jean Hansen | Counselor | 320 N Eisenhower Ave, Mason City, IA 50401-1521 | 2018-04-03 |
| 1598134660 | Heidi Jo Hansen | Speech-Language Pathologist | 909 S 76th St, Omaha, NE 68114-4519 | 2015-09-18 |
| 1184052458 | Heidi Hansen | Surgery | 7440 S 91st St, Lincoln, NE 68526-9797 | 2013-10-24 |
| 1629414578 | Heidi Ann Hansen | Registered Nurse | 366 E George St, Ivanhoe, MN 56142-9711 | 2013-05-20 |
| 1598100687 | Heidi Elise Hansen | Counselor | 148 Warren St, Lowell, MA 01852-2208 | 2013-05-03 |
| Street Address |
505 S 12TH AVE W STE 1 |
| City | VIRGINIA |
| State | MN |
| Zip Code | 55792-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942821640 | Cassandra Jo Adams | Counselor | 505 S 12th Ave W Ste 1, Virginia, MN 55792-2001 | 2020-05-04 |
| 1568083764 | Pietro Vincenzo Martucci | Counselor | 505 S 12th Ave W Ste 1, Virginia, MN 55792-2001 | 2020-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252983 | Teresa A Larrabee | Social Worker | 624 South 13th Street, Virginia, MN 55792 | 2018-04-20 |
| 1972874105 | Caryn M. Walters | Counselor | 504 1st St. S., Virginia, MN 55792 | 2012-01-19 |
| 1144502923 | Crystal Corrine Leal | Student in an Organized Health Care Education/Training Program | 624 S. 13th St., Virginia, MN 55792 | 2011-09-16 |
| 1417259110 | Ellen C. Taube | Pharmacist | 306 Chestnut, Virginia, MN 55792 | 2010-12-01 |
| 1518295567 | Virginia-gilbert Family Dental P.a | Dentist | 612-13th. St. So., Virginia, MN 55792 | 2009-12-03 |
| 1942442082 | Arrowhead Economic Opportunity Agency | In Home Supportive Care | 702 South Third Avenue, Virginia, MN 55792 | 2009-04-06 |
| 1609037324 | Stefan Leroy Kaiser | Preventive Medicine | 1101 9th St. N, Essentia Health Virginia Clinic, Virginia, MN 55792 | 2008-06-25 |
| 1457512915 | Duane Faccin Person | Legal Medicine | 910 6th St N, Duluth Clinic Virginia, Virginia, MN 55792 | 2008-06-18 |
| 1932368313 | Range Mental Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 731 3rd St S, Virginia, MN 55792 | 2008-06-02 |
| 1871634071 | Gary Frederick Miller | Social Worker | 624 S 13th Street, P O 1188, Virginia, MN 55792 | 2007-02-09 |
| Find all providers in zip 55792 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790254936 | Erin Monica Scovell | Counselor | 300 S 5th Ave, Virginia, MN 55792-2665 | 2018-11-16 |
| 1013018480 | Alan A Abraham | Counselor | 626 S 13th St, Detox Range Treatment Center, Virginia, MN 55792 | 2006-09-26 |
| 1619984028 | Arrowhead Center, Inc | Counselor | 505 12th Ave West, Suite 1, Virginia, MN 55792 | 2006-08-01 |
| 1942821640 | Cassandra Jo Adams | Counselor | 505 S 12th Ave W Ste 1, Virginia, MN 55792-2001 | 2020-05-04 |
| 1497389647 | Laura Larsen | Counselor | 624 13th St S, Virginia, MN 55792-3149 | 2020-02-26 |
| 1588227342 | Mark Anthony Coen | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2019-04-17 |
| 1336658533 | Jeris Jean Vaida | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-09-20 |
| 1811415870 | Jane Johnsen | Counselor | 505 12th Ave West, Suite 1, Virginia, MN 55792 | 2017-08-30 |
| 1255858510 | Carol Camille Peterson | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-08-28 |
| 1013434224 | Gregory Edward Golen | Counselor | 505 S 12th Ave W, Virginia, MN 55792-3099 | 2017-08-28 |
| Find all providers in VIRGINIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.