Michael G Hagedorn, LCAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

87001568A Issued in IN

Practice address

734 W Delaware St Ste 217
Evansville, IN 47710-1667

Phone

(812) 499-7950

NPI assigned

Aug 25, 2016

Last updated

Nov 6, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Safe Haven LLC

  dba Genesis Health & Wellness Center

  • Community/Behavioral Health Agency
  • Evansville, IN
  • NPI 1164925772

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Now Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Evansville, IN
  • NPI 1962958363

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478390400000",
    "number": "1346796810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 W DELAWARE ST STE 217",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101667",
            "telephone_number": "812-499-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 W DELAWARE ST STE 217",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101667",
            "telephone_number": "812-499-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEDORN",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "LCAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001568A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassie Hackleman
• Lotfi Hadad, M.D.
• Christina Marie Hagan, LCSW
• Jennifer L Hagan, CST
• Leslie A Hagedorn, LSW
• Diane Hagler, LSW
• David Kent Hahn, RPH
• Sara J Hahn, NP
• Timothy A Haire, H.I.S.
• Dalinda Hajost

• Addiction (Substance Use Disorder) Counselor in Evansville, IN
• Providers in Evansville, IN by specialty
• Addiction (Substance Use Disorder) Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.