Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Martin R Hanson, LCPC

Individual provider Counselor · NPI 1811090426

Martin R Hanson, LCPC is a Mental Health Counselor in Peoria, Illinois. Qualified in 1991, 35 years ago. Practices with The Antioch Group Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
35
Licensed in
IL
In the registry since
2006
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

6615 N Big Hollow Rd
Peoria, IL 61615-2451
Phone: (309) 692-6622
Fax: (309) 692-6952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 180001102 (IL)

Record details

NPI number1811090426
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorNo
NPI enumeratedSeptember 7, 2006
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice The Antioch Group Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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