Kathy I Hagen, MS, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5331 S Macadam Ave
Portland, OR 97239-6104

Phone

(463) 201-5213

NPI assigned

Feb 10, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1437803129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30490 SW ROGUE LN UNIT 3109",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970706656",
            "telephone_number": "463-201-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 S MACADAM AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396104",
            "telephone_number": "463-201-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "KATHY",
        "middle_name": "I",
        "credential": "MS, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "20-8830343",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Hagen Jr.
• Erin Marina Hagen, PA-C
• Jennie B Hagen, MA
• Katherine Lindsey Hagen, LMT
• Kathryn S Hagen, M.D.
• Kerry Brent Hagen, MD
• Logan Hagen
• Paul Wendell Hagen, DC
• Cooper David Hager
• Corri Lynn Hager, L.M.F.T.I.

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.