Active NPI
Rhanda Hagood, MA
- Professional Counselor
- Flagstaff, AZ
National Provider Identifier
1366408619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-13197
- Practice address
- 711 N Beaver St
Flagstaff, AZ 86001-3103 - Phone
- (928) 779-3783
- Fax
- (928) 773-1140
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | LPC-13197 | AZ | Primary |
Addresses
Primary practice location
711 N Beaver St
Flagstaff, AZ 86001-3103
Mailing address
711 N Beaver St
Flagstaff, AZ 86001-3103
Phone (928) 779-3783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 465504 | Medicaid | AZ |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-13197 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1366408619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 N BEAVER ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013103",
"telephone_number": "928-779-3783",
"fax_number": "928-773-1140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 N BEAVER ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013103",
"telephone_number": "928-779-3783",
"fax_number": "928-773-1140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGOOD",
"first_name": "RHANDA",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-13197",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "465504",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.