Active NPI
Toni Marie Hagins
- Professional Counselor
- Magnolia, AR
National Provider Identifier
1114264769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1911137
- Practice address
- 621 E North St
Magnolia, AR 71753 - Phone
- (870) 234-0739
- NPI assigned
- Jan 15, 2013
- Last updated
- Dec 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A1608105 | AR | |
| Professional Counselor | 101YP2500X | P1911137 | AR | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
621 E North St
Magnolia, AR 71753
Mailing address
1600 Aldersgate Rd Ste 200
Little Rock, AR 72205-6676
Phone (501) 661-0720
Other practice location 1
621 E North St
Magnolia, AR 71753
Phone (870) 234-0739
Other practice location 2
2904 Arkansas Blvd
Texarkana, AR 71854-2536
Phone (870) 773-4655
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 |
|---|---|---|---|
| A1608105 | AR | MD | Mental Health Counselor |
| P1911137 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Counseling Texas, LLC | Current | Accepting new patients | |
| United Methodist Behavioral Health System, Inc | Past | Accepting new patients |
Locations
203 Houston St
Queen City, TX 75572
Phone (430) 562-3417
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Queen City, TX
- NPI 1811638885
-
- Adolescent and Children Mental Health Clinic/Center
- Magnolia, AR
- NPI 1457598393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1114264769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 ALDERSGATE RD STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056676",
"telephone_number": "501-661-0720",
"fax_number": "501-325-7938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 E NORTH ST",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "71753",
"telephone_number": "870-234-0739"
}
],
"practiceLocations": [
{
"address_1": "621 E North St",
"address_purpose": "LOCATION",
"city": "Magnolia",
"state": "AR",
"postal_code": "71753",
"country_code": "US",
"telephone_number": "870-234-0739",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2904 Arkansas Blvd",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "AR",
"postal_code": "718542536",
"country_code": "US",
"telephone_number": "870-773-4655",
"fax_number": "870-772-4650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAGINS",
"first_name": "TONI",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-15",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A1608105",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1911137",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Magnolia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.