Teri A. Hagen, LPC, BCN

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC009104 Issued in PA

Practice address

1200 Camp Hill Byp Ste 300
Camp Hill, PA 17011-3700

Phone

(717) 205-2332

Fax

(717) 545-1948

NPI assigned

Aug 18, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Teri Ann Hagen Professional name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mindsleep HealthGroup PAC ID 6002205572, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Mindsleep Health

  • Multi-Specialty Clinic/Center
  • Mechanicsburg, PA
  • NPI 1053074732
  Medicare reassignment Care Compare group NPD
• Integrative Counseling Services, PC

  • Professional Counselor
  • Scranton, PA
  • NPI 1326462599
  NPD (past)
• Transform Your Life Counseling, LLC

  • Clinical Social Worker
  • Camp Hill, PA
  • NPI 1730982497
  NPD (past)

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1154876357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CAMP HILL BYP.",
            "address_2": "SUITE 300",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "17011",
            "telephone_number": "717-205-2332",
            "fax_number": "717-545-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CAMP HILL BYP STE 300",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170113700",
            "telephone_number": "717-205-2332",
            "fax_number": "717-545-1948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4309 Linglestown Rd # 214",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171128624",
            "country_code": "US",
            "telephone_number": "717-412-4908",
            "fax_number": "717-695-0853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "TERI",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LPC, BCN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "3672894",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103295191.003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERI",
            "last_name": "HAGEN",
            "middle_name": "ANN",
            "credential": "LCN, BCN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary Ann Marchan Gutib
• Joy A Guziec, D.O.
• Joel Thomas Gyimesi, D.C.
• Bryan James Haberstroh
• Gabrielle Hafner, RN
• Emily Grace Hahn, PA
• Rachel Hahn
• Christina Nicole Haidar
• Charlotte Diane Hain, M.A.
• Michael C Haines

• Professional Counselor in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.