Healthcare Provider Details

I. General information

NPI: 1093506818
Provider Name (Legal Business Name): JASMINE S HANSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1732 S 72ND ST W
BILLINGS MT
59106-3538
US

IV. Provider business mailing address

1732 S 72ND ST W
BILLINGS MT
59106-3538
US

V. Phone/Fax

Practice location:
  • Phone: 406-655-2725
  • Fax: 406-655-2725
Mailing address:
  • Phone: 406-655-2125
  • Fax: 406-655-2725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: