Heidi Alexandra Hagle, MA MFTI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMF85966 Issued in CA

Practice address

209 Westpark CT Unit 405
Camarillo, CA 93012-8444

Phone

(805) 504-6777

NPI assigned

Apr 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1104203975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WESTPARK CT UNIT 405",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128444",
            "telephone_number": "805-504-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WESTPARK CT UNIT 405",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128444",
            "telephone_number": "805-504-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGLE",
        "first_name": "HEIDI",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Miss",
        "credential": "MA MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF85966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H Allen Hooper, M.D. a Professional Corporation
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• David Haddad
• Christina Hadley, B.A.
• Amanda Renee Hague
• F. Joseph Halcomb III, M.D.
• Suzette K Hale, PT
• Carolyn Hall, M.A.
• Hopi Hall

• Mental Health Counselor in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.