Kendall Pauline Hagensen, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60485464 Issued in WA

Practice address

800 Franklin St
#200
Vancouver, WA 98660-3355

Phone

(360) 904-9432

NPI assigned

Mar 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Vancouver Wellness Studio, PLLC

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1720727910
  NPD Authorized official

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475366400000",
    "number": "1174949598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W 37TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986601945",
            "telephone_number": "360-904-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FRANKLIN ST",
            "address_2": "#200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603355",
            "telephone_number": "360-904-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGENSEN",
        "first_name": "KENDALL",
        "middle_name": "PAULINE",
        "name_prefix": "Mrs.",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2016-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC.0104228",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60485464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Lynn Hafoka, SUDPT
• Steve Enn Hagan, BSN
• Janae Hagel
• Hagen Chiropractic Group, Inc., P.C.
• Heather Lee Hagen, CAAR
• Benjamin Ian Hager, WA.MA.70100167
• Desiree Haggart, ARNP
• Jean Marie Haggerty, MD
• Kimberly Crowell Hagler, LPC
• Vivian Hagstrom

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, 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 2, 2016; 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.