MEDICARE: ANNA MASAKO HANSON LMHCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MC70048714	WA

General Provider Information

NPI Number	:	1104781814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA MASAKO HANSON LMHCA

Provider Business Mailing Address
First Line	:	530 BROADWAY E APT 234
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-6225
Country	:	US
Telephone Number	:	425-446-0825
Fax Number	:

Provider Business Practice Location Address
First Line	:	2207 NE 65TH ST STE 204
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-7097
Country	:	US
Telephone Number	:	206-590-1212
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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