CHRISTINE M HANSEN (MS LCSW SAC LPC) – Social Worker, NPI 1104930940

CHRISTINE M HANSEN (MS LCSW SAC LPC) is a healthcare provider. based in Oshkosh, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS LCSW SAC LPC. They hold a License No. 12499 (WI). The NPI Number for CHRISTINE M HANSEN (MS LCSW SAC LPC) is 1104930940

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE M HANSEN (MS LCSW SAC LPC)
NPI
1104930940
Phone
(920) 720-2300
Address
600 N Westhaven Dr
Enumeration Date
18 August 2006
Last Update Date
4 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9203643600
Graduation Year
1990 (36 years ago)
PAC ID
0840640132
Group Practice PAC ID
1759294887
Professional Enrollment ID
I20231228003059
Address ID
WI549561954NE333XXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for CHRISTINE M HANSEN (MS LCSW SAC LPC)

  • 600 N Westhaven Dr

    Oshkosh, WI 549046926

    Phone: (920) 720-2300

    Fax: (920) 720-3719

    Type: Location

  • 1095 Midway Rd

    Menasha, WI 549521115

    Phone: (920) 720-2300

    Fax: (920) 720-3719

    Type: Location

  • 333 N GREEN BAY RD

    NEENAH, WI 549561954

    Phone: (920) 720-2300

    Fax: (920) 720-3719

    Type: Location

  • 1095 MIDWAY RD

    MENASHA, WI 549521115

    Phone: (920) 720-2300

    Fax: (920) 720-3719

    Type: Mailing

  • Appleton Curling Club, 307, North Westhill Boulevard, Town of Grand Chute, Outagamie County, Wisconsin, 54914, United States

    APPLETON, WI 549145715

    Phone: (920) 750-7000

    Fax: (920) 364-2451

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231228003059IMental Health CounselorWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54904)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759294887View full group profile
NameSpecialtyState
Family PracticeWI
Family PracticeWI
-FL
Hospitalist, Internal MedicineMI
P S Y C H I A T R YWI
-WI
-WA
Physician AssistantWI
Family PracticeWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for CHRISTINE M HANSEN (MS LCSW SAC LPC)?
CHRISTINE M HANSEN (MS LCSW SAC LPC) — NPI 1104930940 — is the standard way to identify this listing.
Does the file indicate CHRISTINE M HANSEN (MS LCSW SAC LPC) is practicing under active NPI?
Directory data currently reports CHRISTINE M HANSEN (MS LCSW SAC LPC) as active.
What is CHRISTINE M HANSEN (MS LCSW SAC LPC) best known for clinically?
Directory data describes CHRISTINE M HANSEN (MS LCSW SAC LPC) with Social Worker. Clinical services aligned with this taxonomy classification.
Does CHRISTINE M HANSEN (MS LCSW SAC LPC) list a practice location?
Patients near Oshkosh, Wisconsin may find CHRISTINE M HANSEN (MS LCSW SAC LPC) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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