JESSE HANSEN
NPI 1104690965
Counselor - Mental Health in Ketchikan, AK

Active since November 13, 2023
2442 TONGASS AVE, KETCHIKAN, AK 99901(907) 885-2280 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesse Hansen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE HANSEN (NPI 1104690965) is an individual mental health provider in Ketchikan, Alaska and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1104690965
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJESSE HANSEN
Location Address2442 TONGASS AVEKetchikan, AK 99901-5928
Mailing AddressPo Box 7475Ketchikan, AK 99901-2475 · (425) 737-5076
Sole ProprietorNo
Enumeration DateNovember 13, 2023
NPPES CertifiedNovember 13, 2023
NPI 1104690965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2442 TONGASS AVE, Ketchikan, AK 99901

Other Identifiers 2

Medicaid1703638AK
Medicaid1713721AK

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2442 TONGASS AVE
KETCHIKAN, AK 99901
Physical Therapist
2442 TONGASS AVE
KETCHIKAN, AK 99901
Counselor (Mental Health)
2442 TONGASS AVE
KETCHIKAN, AK 99901
Counselor (Mental Health)
2442 TONGASS AVE
KETCHIKAN, AK 99901
Counselor (Mental Health)
2442 TONGASS AVE
KETCHIKAN, AK 99901
Physical Therapist
2442 TONGASS AVE
KETCHIKAN, AK 99901
Counselor (Mental Health)
2442 TONGASS AVE
KETCHIKAN, AK 99901
Counselor (Mental Health)
2442 TONGASS AVE
KETCHIKAN, AK 99901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Hansen's NPI number?

The NPI number for Jesse Hansen is 1104690965. It was assigned to this individual provider in the NPPES registry on November 13, 2023.

Where is Jesse Hansen located?

Jesse Hansen practices at 2442 Tongass Ave, Ketchikan, AK 99901. The listed phone number is (907) 885-2280.

What is Jesse Hansen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jesse Hansen was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.