Mark Tyner Hagwood, D.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1924 Issued in MS

Practice address

128 Maple Drive
Suite a
Ridgeland, MS 39157

Phone

(601) 863-9430

NPI assigned

Aug 19, 2014

Sex

Male

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Journeykind Wellness

  • Psychoanalyst
  • Flowood, MS
  • NPI 1780549097
  NPD (past) Authorized official
• Turning Point Counseling

  • Mental Health Counselor
  • Madison, MS
  • NPI 1982086641
  NPD (past) Authorized official
• Turning Point, Inc.

  • Mental Health Counselor
  • Flowood, MS
  • NPI 1780231043
  NPD (past) Authorized official

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1134528821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 HIGHWOODS BLVD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107423",
            "telephone_number": "601-863-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MAPLE DRIVE",
            "address_2": "SUITE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-863-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGWOOD",
        "first_name": "MARK",
        "middle_name": "TYNER",
        "name_prefix": "Dr.",
        "credential": "D.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sebastian Gunnin
• Allyson Gunter
• H&B Mission LLC
• Aletheia Hackbarth-Lawrence, PTA
• Catherine Hagwood, LPC
• Caitlin N Hajje, SLP
• Marcia Griffin Hale, LPC
• Alexandria Hall
• Julie K Hall, CCC-SLP
• Samuel James Hall, OTR/L

• Professional Counselor in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Professional Counselor in Mississippi

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