Jennie B Hagen, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C3345 Issued in OR

Practice address

2705 E Burnside St
Suite 206
Portland, OR 97214-1763

Phone

(503) 622-9140

NPI assigned

Dec 6, 2006

Last updated

Feb 20, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jennie L Barnhart Former 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

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1134287451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9120 NE 66TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986624420",
            "telephone_number": "503-622-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 E BURNSIDE ST",
            "address_2": "SUITE 206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141763",
            "telephone_number": "503-622-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "JENNIE",
        "middle_name": "B",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60321408",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIE",
            "last_name": "BARNHART",
            "middle_name": "L",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arlene Debora Hagen, M.D.
• Atika Hagen
• Chad Cameron Hagen, M.D.
• Edward Hagen Jr.
• Erin Marina Hagen, PA-C
• Katherine Lindsey Hagen, LMT
• Kathryn S Hagen, M.D.
• Kathy I Hagen, MS, MFT
• Kerry Brent Hagen, MD
• Logan Hagen

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.