Julia Marie Hagan, CP 60145139

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP 60145139 Issued in WA

Practice address

24823 Pacific Hwy S Ste 103
Kent, WA 98032-5478

Phone

(253) 681-0010

Fax

(253) 681-0014

NPI assigned

May 12, 2016

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

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1225484827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 SW 136TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661214",
            "telephone_number": "206-257-6750",
            "fax_number": "206-257-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24823 PACIFIC HWY S STE 103",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325478",
            "telephone_number": "253-681-0010",
            "fax_number": "253-681-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "JULIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CP 60145139",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG61389518",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP 60145139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Jean Gwerder, ARNP
• Jeff M. Haas, L.M.P.
• Sifan Habte
• Kenna Marie Hadden, RD, CD
• Robert Scott Haeger, DDS,MS,PS
• Karlee Ellen Hagan
• Richard Carl Hagemeier, D.D.S.
• Savannah Hager
• William Joseph Haggerty, CDP
• Jennifer Hahn, SLP

• Addiction (Substance Use Disorder) Counselor in Kent, WA
• Providers in Kent, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

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