NPI age
5 years
Enumerated 2020-10-29
● Active
Type 1 · Individual
Tracie Lyn Hansen, B.S.
Hansen is 1 of 14 peer specialist providers in Pocatello and 1 of 222 in Idaho.
Primary specialty
Peer Specialist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 222 active peer specialist providers in Idaho.
NPI age
5 years
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-10Enumerated in NPPES
2020
2026
Where they practice
Practice location
560 Fairway Dr
Pocatello, ID 832012012
Mailing address
611 Wilson Ave Ste 5
Pocatello, ID 832015046
Specialties
-
Peer Specialist PrimaryIndividuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 2 new peer specialist providers have been added in Pocatello in the last 180 days.
See all →
Provyx · Custom healthcare lists
Need all 222 Peer Specialist providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.