CAROL JEANNE HANSEN (NPI# 1053879361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053879361 |
| Entity Type | Individual |
| Full Name | CAROL JEANNE HANSEN |
| Practice Address |
72a Centennial Loop Ste 150 Eugene OR 97401-2447 |
| Mailing Address |
2092 Praslin St Eugene OR 97402-1025 |
| Practice Telephone | 9712197949 |
| Mailing Telephone | 5419685958 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | THW000002476 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | ODOL | 4854649 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 72 Centennial Loop Ste 150, Eugene, OR 974012462 | ||
| 72a Centennial Loop Ste 150, Eugene, OR 974012447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285082107 | Carol Lynn Hansen | Counselor | 856 N Mitchell St, 856 N Mitchell St, Cadillac, MI 49601-1497 | 2016-06-01 |
| 1922121847 | Carol Marie Hansen | Case Manager/Care Coordinator | 4300 W Caleb Ct, Columbia, MO 65203-6517 | 2007-04-07 |
| 1528121548 | Carol Ann Hansen | Registered Nurse | 2009 Old Ranch Rd, Hamilton, MT 59840-8944 | 2006-12-19 |
| 1942832746 | Carol E Hansen | Massage Therapist | 5166 Monroe St Ste 302, Toledo, OH 43623-3454 | 2020-02-10 |
| 1215255195 | Carol Anne Hansen | Speech-Language Pathologist | 340 E Sunset Way, #101, Issaquah, WA 98027-3474 | 2010-05-17 |
| 1093910887 | Carol Hansen | Marriage & Family Therapist | 2310 1st St, Napa, CA 94559-2239 | 2007-06-20 |
| 1831390012 | Carol Elizabeth Hansen | Nurse Practitioner | 80 Congress St, Springfield, MA 01104-3564 | 2007-05-29 |
| 1760694830 | Carol F Hansen | Developmental Therapist | 1665 N 4th St, Breese, IL 62230-1791 | 2007-05-03 |
| 1669507836 | Carol M Hansen | Counselor | 11911 San Vicente Blvd, 280, Los Angeles, CA 90049-5086 | 2007-02-21 |
| 1497705339 | Carol E Hansen | Nurse Anesthetist, Certified Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2006-05-11 |
| Street Address |
72A CENTENNIAL LOOP STE 150 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-2447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407400989 | Gina Mendez Paoletto | Peer Specialist | 72a Centennial Loop Ste 150, Eugene, OR 97401-2447 | 2019-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810322 | Ariana Lee May | Peer Specialist | 1601 Olive St Apt 1008, Eugene, OR 97401-3985 | 2020-04-24 |
| 1558844324 | Roman Bezvikonnyi | Peer Specialist | 3086 Memory Ln, Eugene, OR 97404-1838 | 2018-09-07 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1497296222 | Maria Regina Sison-valenti | Peer Specialist | 72a Centennial Loop, Suite 150, Eugene, OR 97401-2444 | 2017-03-13 |
| 1700335858 | Christina Gail Kazlas | Peer Specialist | 111 N Garfield St, Eugene, OR 97402-2619 | 2016-09-30 |
| 1316396187 | Matthew Allen Harlan | Peer Specialist | 4300 Goodpasture Loop, Apt.# 11, Eugene, OR 97401-1458 | 2016-06-12 |
| 1265888127 | Chenoa Bostick | Peer Specialist | 2525 Portland St, Eugene, OR 97405-3153 | 2016-05-10 |
| 1770980906 | Paul Revis | Peer Specialist | 2525 Portland St Apt 19, Eugene, OR 97405-3107 | 2014-12-03 |
| 1568607935 | Randy Jay Gudeika | Peer Specialist | 2145 Centennial Plaza, Laurel Hill Center, Eugene, OR 97401-2421 | 2008-12-12 |
| 1124629423 | Travis Adam Fries | Peer Specialist | 1420 Green Acres Rd, Eugene, OR 97408-1791 | 2020-11-03 |
| Find all providers in EUGENE | ||||
Please comment or provide details below to improve the information on CAROL JEANNE HANSEN.
| 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.