Michaela Hagerty-Koller, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61300466 Issued in WA

Practice address

5413 Meridian Ave N Ste a
Seattle, WA 98103-6166

Phone

(206) 588-6409

NPI assigned

Mar 24, 2023

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

State licenses

Practice roles

Locations

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.

• Michaela Hagerty-Koller P.S.

  • Adolescent and Children Mental Health Clinic/Center
  • Seattle, WA
  • NPI 1306549696
  NPD Authorized official

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1154024453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5413 MERIDIAN AVE N STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036166",
            "telephone_number": "206-588-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5413 MERIDIAN AVE N STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036166",
            "telephone_number": "206-588-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERTY-KOLLER",
        "first_name": "MICHAELA",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61300466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony J Hager, PHARM.D.
• Barbara Ewa Hager, MD
• Christina Rochelle Story Hager, CDPT
• Jodene Ann Hager, LMP
• Laurinda Ann Hager, LMP
• Ryan C Haggart, MD
• Lauren Elise Haggerty, MD
• Matthew D. Haggerty, L.M.P.
• Candace Haghighi, MD
• Meisam S Haghighi, PHD

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.