Active NPI
Timothy L Hagler
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1073155503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A15029
- Practice address
- 7751 Ballantyne Commons Pkwy Ste 102
Charlotte, NC 28277-2442 - Phone
- (704) 626-6550
- NPI assigned
- Oct 16, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A15029 | NC | Primary |
Addresses
Primary practice location
7751 Ballantyne Commons Pkwy Ste 102
Charlotte, NC 28277-2442
Mailing address
4108 Marquesas Ave
Tega Cay, SC 29708-8531
Phone (980) 349-0953
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A15029 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One:12 Counseling PLLC | Professional | Current | Accepting new patients |
Locations
7751 Ballantyne Commons Pkwy
#102
Charlotte, NC 28277
Phone (704) 626-6550
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1073155503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4108 MARQUESAS AVE",
"city": "TEGA CAY",
"state": "SC",
"postal_code": "297088531",
"telephone_number": "980-349-0953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7751 BALLANTYNE COMMONS PKWY STE 102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772442",
"telephone_number": "704-626-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGLER",
"first_name": "TIMOTHY",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-16",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A15029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.