Casey Ann Hanson, PH.D., LPC
NPI 1336331248ActiveIndividual· Psychologist, Clinical· Appleton, WI
Psychologist, Clinical (PH.D., LPC) with Virago Wellness Initiative, LLC, practicing in Appleton, Wisconsin. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1336331248 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D., LPC |
| Sole proprietor | No |
| NPI issued | Aug 14, 2007 |
| Last updated in NPPES | Nov 6, 2023 |
| Certified by provider | Nov 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 2798-057 | WI |
| Counselor, Mental Health | 101YM0800X | 3646-125 | WI |
| Psychologist, Clinical | 103TC0700X | 2798 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (WI) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Virago Wellness Initiative, LLCAppleton, WI · 5 clinicians
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