Active NPI
Tara Mae Hagan, M.S., LPCC-S
- Counselor
- Troy, OH
National Provider Identifier
1174564892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E4007
- Practice address
- 405 Public SQ Ste 255
Troy, OH 45373-3298 - Phone
- (937) 216-5290
- NPI assigned
- Jun 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | E4007 | OH | Primary |
Addresses
Primary practice location
405 Public SQ Ste 255
Troy, OH 45373-3298
Mailing address
405 Public SQ Ste 255
Troy, OH 45373-3298
Phone (937) 216-5290
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4007 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1174564892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 PUBLIC SQ STE 255",
"city": "TROY",
"state": "OH",
"postal_code": "453733298",
"telephone_number": "937-216-5290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 PUBLIC SQ STE 255",
"city": "TROY",
"state": "OH",
"postal_code": "453733298",
"telephone_number": "937-216-5290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGAN",
"first_name": "TARA",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "M.S., LPCC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E4007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.