Individual provider Active NPI

Courtney Hagemann, MA, LMFT

  • Marriage & Family Therapist
  • Salem, OR
National Provider Identifier
1033565064
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T1427 Issued in OR
Practice address
247 Commercial St NE Ste 202
Salem, OR 97301-3435
Phone
(503) 871-1962
NPI assigned
May 9, 2016
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU
Marriage & Family Therapist 106H00000X T1427 OR Primary

Addresses

Primary practice location

247 Commercial St NE Ste 202
Salem, OR 97301-3435

Mailing address

247 Commercial St NE Ste 202
Salem, OR 97301-3435
Phone (503) 871-1962

Other names 1

  • Courtney Kuehl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
T1427ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Courtney Hagemann, LLC Marriage & Family Therapist CurrentSince Feb 23, 2025 Accepting new patients
Optum Behavioral Care of Colorado, P.C. PastSince Jan 1, 2024 Accepting new patients

Locations

247 Commercial St NE
Ste 202
Salem, OR 97301
Phone (503) 871-1962

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1033565064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 COMMERCIAL ST NE STE 202",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013435",
            "telephone_number": "503-871-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 COMMERCIAL ST NE STE 202",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013435",
            "telephone_number": "503-871-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEMANN",
        "first_name": "COURTNEY",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "KUEHL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.