MEDICARE: MATEO HAYES HANSEN LMHC

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	LH00006487	WA

General Provider Information

NPI Number	:	1982638326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATEO HAYES HANSEN LMHC

Provider Business Mailing Address
First Line	:	1510 N FOREST ST UNIT 322
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-4585
Country	:	US
Telephone Number	:	360-303-2193
Fax Number	:	360-392-8916

Provider Business Practice Location Address
First Line	:	119 N COMMERCIAL ST STE 420
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-4437
Country	:	US
Telephone Number	:	360-303-2196
Fax Number	:	360-392-8916

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	08/19/2025

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