COLLEEN M HANSON (LPC) – Mental Health Counselor, NPI 1669604666

COLLEEN M HANSON (LPC) is a healthcare provider. based in Fond du lac, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 4764-125 (WI). The NPI Number for COLLEEN M HANSON (LPC) is 1669604666

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
COLLEEN M HANSON (LPC)
NPI
1669604666
Phone
(920) 926-4200
Address
430 E DIVISION ST
Enumeration Date
10 August 2009
Last Update Date
21 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9209292300
Graduation Year
2006 (20 years ago)
PAC ID
4587015599
Group Practice PAC ID
1658289624
Professional Enrollment ID
I20240103004199
Address ID
WI549354560FO430XXSTXX400
Telehealth
Yes

Contacts

Secure Messaging
chanson330385@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

1,748 MENTAL HEALTH COUNSELOR in WI

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Provider Addresses for COLLEEN M HANSON (LPC)

  • Fond-du-Lac, Northern Saskatchewan Administration District, Saskatchewan, Canada

    FOND DU LAC, WI 549354560

    Phone: (920) 926-4200

    Mailing address matches the actual address.

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: 2024-01-03

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
I20240103004199IMental 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 54935)

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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: 1658289624View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
-WI
U R O L O G YWI
-WI
P S Y C H I A T R YWI
Certified Registered Nurse Anesthetist (Crna)WI
Vascular Surgery, General SurgeryWI
-ND
Nephrology, Internal MedicineWI
Family PracticeWI

Reviews

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Frequently asked questions

Does COLLEEN M HANSON (LPC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — COLLEEN M HANSON (LPC) uses 1669604666.
Is COLLEEN M HANSON (LPC) listed as active for patients and plans?
The listing shows COLLEEN M HANSON (LPC) as active in the NPI system.
What taxonomy line describes COLLEEN M HANSON (LPC)?
For research purposes, treat COLLEEN M HANSON (LPC) as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What area does COLLEEN M HANSON (LPC) serve?
COLLEEN M HANSON (LPC)'s listing highlights Fond Du Lac, Wisconsin; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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