MARIAH HANSON (NPI# 1275143471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275143471 |
| Entity Type | Individual |
| Full Name | MARIAH HANSON |
| Practice Address |
1011 Laura Dr Champaign IL 61822-2385 |
| Practice Telephone | 2175971536 |
| Mailing Telephone | 2175971536 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962946012 | Mariah Hanson | Specialist/Technologist | 12 Highland Rd, Nahant, MA 01908-1313 | 2016-12-08 |
| 1659890762 | Mariah Rae Hanson | Physician Assistant | 9550 Upland Ln N Ste 100, Maple Grove, MN 55369-4482 | 2017-09-11 |
| Street Address |
1011 LAURA DR |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822-2385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1750541256 | Lynn Randolph Watson | Counselor | 218 Brookwood, Champaign, IL 61820 | 2008-06-10 |
| 1043496425 | Lindsey Joy Francke | Counselor | 209 W University Ave, Apt 4, Champaign, IL 61820-3966 | 2008-01-15 |
| 1215131552 | Debra Frye | Counselor | 1112 Lincolnshire Dr, Champaign, IL 61821-5606 | 2007-06-12 |
| 1306062922 | Elizabeth Wagner | Counselor | 105 N Fair St, Champaign, IL 61821 | 2007-04-18 |
| 1043434061 | Christine Johnson | Counselor | 702 Bloomington Rd Ste 214, Champaign, IL 61820-2560 | 2007-04-12 |
| 1316545296 | Mcgill Counseling | Counselor | 2919 Crossing Ct, Champaign, IL 61822-5903 | 2020-10-13 |
| 1609492669 | Dylan J Mahaffey | Counselor | 201 W Springfield Ave Ste 1005, Champaign, IL 61820-4968 | 2020-06-24 |
| 1730747510 | Ray Emerson Turner | Counselor | 1801 Fox Dr, Champaign, IL 61820-7236 | 2019-06-05 |
| 1932673779 | Cameron Hunter | Counselor | 1801 Fox Dr, Champaign, IL 61820-7236 | 2019-01-15 |
| Find all providers in CHAMPAIGN | ||||
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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.