Alyssa Diane Hagmann, MARR & FAM THERAPIST

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF60102496 Issued in WA

Practice address

4041 Ruston Way Ste 202
Tacoma, WA 98402-5300

Phone

(253) 254-6811

Fax

(253) 248-0239

NPI assigned

Jul 30, 2010

Last updated

Jan 16, 2025By the provider in NPPES

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": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1326352436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 N BRISTOL ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984071550",
            "telephone_number": "253-254-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 RUSTON WAY STE 202",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025300",
            "telephone_number": "253-254-6811",
            "fax_number": "253-248-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGMANN",
        "first_name": "ALYSSA",
        "middle_name": "DIANE",
        "credential": "MARR & FAM THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60102496",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "LF60102496",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelson A Hager, M.D.
• Jason Hagerup
• Venetia Hagg
• Haggen Inc (Top 41)
• Shawn Hagland, PHARMD
• Cydni Janelle Hagstrom
• Rick Hahn, ARNP
• Tarek Haidar, M.D.
• Ariana Michele Haidari, RD
• Sean C Hails, CP

• Marriage & Family Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.