Austin Hansen, LPC
Counselor, Professional in Meridian, ID. Individual provider (NPI-1).
NPI number1104711258
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1104711258
- Entity type
- Individual (NPI-1)
- Name
- Austin Hansen
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2025
- Certification date
- Jun 17, 2025
- Last updated
- Jun 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 9371460 | ID | Yes |
Practice location
3061 S Meridian Rd Ste 100Meridian, ID 83642-8817
Phone 208-620-5399
Mailing address
3061 S Meridian Rd Ste 100Meridian, ID 83642-8817
Phone 208-620-5399
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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