MEDICARE: MRS. SHARON KAY HANSEN MA CNS LMFT

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	106H00000X	Marriage & Family Therapist	1140	SD
2	364SP0808X	Psychiatric/Mental Health Clinical Nurse Specialist	CNS4009	SD
3	364SP0808X	Psychiatric/Mental Health Clinical Nurse Specialist	RN013249	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932195377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARON KAY HANSEN MA CNS LMFT

Provider Business Mailing Address
First Line	:	112 1/2 N CHICAGO ST
Second Line	:
City	:	HOT SPRINGS
State	:	SD
Zip	:	57747-1632
Country	:	US
Telephone Number	:	605-745-4770
Fax Number	:	605-745-4770

Provider Business Practice Location Address
First Line	:	112 1/2 N CHICAGO ST
Second Line	:
City	:	HOT SPRINGS
State	:	SD
Zip	:	57747-1632
Country	:	US
Telephone Number	:	605-745-4770
Fax Number	:	605-745-4770

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

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	09/11/2025

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