Active NPI
James Hagler
- Professional Counselor
- Dixon, IL
National Provider Identifier
1235518580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180009431
- Practice address
- 2600 N Brinton Ave
Dixon, IL 61021-9532 - Phone
- (815) 288-5561
- NPI assigned
- May 20, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180009431 | IL | Primary |
Addresses
Primary practice location
2600 N Brinton Ave
Dixon, IL 61021-9532
Mailing address
2209 18TH Ave
Rockford, IL 61104-5535
Phone (815) 713-6863
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180009431 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1235518580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 18TH AVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611045535",
"telephone_number": "815-713-6863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 N BRINTON AVE",
"city": "DIXON",
"state": "IL",
"postal_code": "610219532",
"telephone_number": "815-288-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGLER",
"first_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-20",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180009431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dixon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.