NANCY HENSEN (NPI# 1013131366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013131366 |
| Entity Type | Individual |
| Full Name | NANCY HENSEN |
| Credential | LCPC, NCC |
| Practice Address |
224 Evans Ln Chubbuck ID 83202-1912 |
| Practice Telephone | 2082374782 |
| Practice Fax Number | 2082379042 |
| Mailing Telephone | 2082374782 |
| Mailing Fax Number | 2082379042 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2012-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCPC 4707 | ID | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LCPC- 4707 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807197600 | 05 |
| Street Address |
224 EVANS LN |
| City | CHUBBUCK |
| State | ID |
| Zip Code | 83202-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265821243 | Mirthia Marie Carrio | Social Worker | 224 Evans Ln, Ste A, Chubbuck, ID 83202-1912 | 2015-01-14 |
| 1225384779 | Tiffany Marie Nielson | Counselor | 224 Evans Ln, Suite 1, Chubbuck, ID 83202-1912 | 2012-08-01 |
| 1932327160 | Childrens Supportive Services Incorporated | Community/Behavioral Health | 224 Evans Ln, Chubbuck, ID 83202-1912 | 2007-04-23 |
| 1306063987 | Childrens Supportive Services Incorporated | Community/Behavioral Health | 224 Evans Ln, Chubbuck, ID 83202-1912 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
| Find all providers in zip 83202 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497182646 | Marlo Patrice Robertson | Counselor | 210 W Burnside Suite A, Chubbuck, ID 83202 | 2013-10-02 |
| 1851694657 | Donna D Summers | Counselor | 210 W Burnside Ave Ste A, Chubbuck, ID 83202-4916 | 2010-12-16 |
| 1619288537 | Kimberly Lind Wacaster | Counselor | 4650 Hawthorne Rd, Suite 3b, Chubbuck, ID 83202-2376 | 2010-06-25 |
| 1780780775 | Leeann A Turpin | Counselor | 4460 Kings Way Ste 2, Chubbuck, ID 83202-1900 | 2006-09-16 |
| 1073162491 | Kilynn Lois Hainline | Counselor | 210 W Burnside Ave Ste A, Chubbuck, ID 83202-4916 | 2019-09-09 |
| 1780158634 | Erin Kathleen Sullivan Baker | Counselor | 210 W Burnside Ave Ste A, Chubbuck, ID 83202-4916 | 2019-01-14 |
| 1700354784 | Ruth Nielson Adamson | Counselor | 210 W Burnside Ave Ste A, Chubbuck, ID 83202-4916 | 2018-11-07 |
| 1598279366 | Thomas Putnam | Counselor | 210 W Burnside Ave Ste A, Chubbuck, ID 83202-4916 | 2017-11-30 |
| 1205371614 | Elisabeth Clonts | Counselor | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2016-12-21 |
| 1427401389 | Barbara Krichbaum | Counselor | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2016-07-15 |
| Find all providers in CHUBBUCK | ||||
Please comment or provide details below to improve the information on NANCY HENSEN.
| 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.