Individual provider Active NPI

Margaret L. Fagan, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Henderson, NV
National Provider Identifier
1396258414
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
00181-LC Issued in NV
Practice address
7 S Water St Ste a
Henderson, NV 89015-7250
Phone
(702) 568-5971
Fax
(702) 568-5971
NPI assigned
Nov 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Addiction (Substance Use Disorder) Counselor 101YA0400X 00181-LC NV Primary

Addresses

Primary practice location

7 S Water St Ste a
Henderson, NV 89015-7250

Mailing address

730 N Eastern Ave Ste 130
Las Vegas, NV 89101-2885
Phone (702) 598-2020

Other practice location 1

730 N Eastern Ave Ste 130
Las Vegas, NV 89101-2885
Phone (702) 598-2020

Other names 1

  • Martie L. Fagan Other name

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

LicenseStateTypeSpecialty
00181-LCNVMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1396258414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N EASTERN AVE STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891012885",
            "telephone_number": "702-598-2020",
            "fax_number": "702-598-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S WATER ST STE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157250",
            "telephone_number": "702-568-5971",
            "fax_number": "702-568-5971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 N Eastern Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891012885",
            "country_code": "US",
            "telephone_number": "702-598-2020",
            "fax_number": "702-598-2018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "MARGARET",
        "middle_name": "L.",
        "credential": "LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00181-LC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTIE",
            "last_name": "FAGAN",
            "middle_name": "L.",
            "credential": "LCADC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.