Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACIE LYN HANSEN, B.S.
Active Sole ProprietorTRACIE LYN HANSEN, B.S. is a Peer Specialist healthcare provider located in POCATELLO, Idaho. NPI 1639779523 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · POCATELLO, ID
Registration Details
- NPI Number
- 1639779523
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2020 (5.7515827452605 yrs)
- Last Updated
- Oct 14, 2025
- License
-
CPSS055 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
560 FAIRWAY DRPOCATELLO, ID, 832012012Browse ID providers · Browse ZIP 83201
- Phone
- 2082426669
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| LAUREN ELIZABETH ELLSWORTH | — | 1811417272 |
| LISA GAY JOHNSTON | — | 1760980023 |
| MS. KOLLEEN MARIE WYNN-GALLIPEAU | CERTIFIED PEER SUPP | 1184113482 |
| REBECCA DENISE WHITE | CPRC, CPSS, CPRC SUP | 1689395378 |
| ZACHARY KINNEY | RECOVERY COACH | 1619694312 |
| AUTUMN NIKOLE HENNESSY KAHEA | CPSS | 1124994454 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.