Kelly Lynn Hagan, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

KY 0280 Issued in KY

Practice address

520 E Maxwell St
Lexington, KY 40502-6432

Phone

(859) 233-3390

Fax

(859) 243-9906

NPI assigned

Mar 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other names 1

• Ms. Kelly Lynn Hagan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• David Feinberg

  dba Feinberg & Associates

  • Psychologist
  • Lexington, KY
  • NPI 1316460983
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104944404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 BROOK PARK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405151307",
            "telephone_number": "859-271-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E MAXWELL ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026432",
            "telephone_number": "859-233-3390",
            "fax_number": "859-243-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "KY 0280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "HAGAN",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LICENSED PSYCH. ASSO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Fred Park Hadley, MD
• Kaelyn Boner Hadley, RPH
• Sarah Welch Haerle, DMD
• Jack Edwin Haffermann
• Emily Katharine Hagan, BCBA
• Miranda Hagan, APRN
• Michael Dale Hagen, M.D.
• Christy Roe Hager, RN
• Larkin McClain Hager Jr.
• Mallory Nicole Hager

• Mental Health Counselor in Lexington, KY
• Providers in Lexington, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.