Organization Active NPI

Courtney Hagemann, LLC

  • Marriage & Family Therapist
  • Salem, OR
National Provider Identifier
1346066404
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
COURTNEY HAGEMANN, LLC
Practice address
247 Commercial St NE Ste 202
Salem, OR 97301-3435
Phone
(503) 871-1962
Fax
(971) 446-7835
NPI assigned
Nov 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Courtney Hagemann, LMFTNPI 1033565064
Title
Owner
Phone
(503) 871-1962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

247 Commercial St NE Ste 202
Salem, OR 97301-3435

Mailing address

247 Commercial St NE Ste 202
Salem, OR 97301-3435

National Provider Directory

National Provider Directory

Locations

247 Commercial St NE
Ste 202
Salem, OR 97301
Phone (503) 871-1962

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1346066404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 COMMERCIAL ST NE STE 202",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013435",
            "fax_number": "971-446-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 COMMERCIAL ST NE STE 202",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013435",
            "telephone_number": "503-871-1962",
            "fax_number": "971-446-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY HAGEMANN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "HAGEMANN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-871-1962",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.