Active NPI
Timothy Lagro, MA
- Mental Health Counselor
- Lagrange, IN
National Provider Identifier
1609124684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 836 N Detroit St
Lagrange, IN 46761-1112 - Phone
- (260) 499-3019
- Fax
- (260) 499-3022
- NPI assigned
- Aug 22, 2012
- Last updated
- Aug 22, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
836 N Detroit St
Lagrange, IN 46761-1112
Mailing address
850 N Harrison St
Warsaw, IN 46580-3163
Phone (574) 267-7169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345593600000",
"number": "1609124684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 N HARRISON ST",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803163",
"telephone_number": "574-267-7169",
"fax_number": "574-268-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 N DETROIT ST",
"city": "LAGRANGE",
"state": "IN",
"postal_code": "467611112",
"telephone_number": "260-499-3019",
"fax_number": "260-499-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGRO",
"first_name": "TIMOTHY",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-22",
"last_updated": "2012-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, IN
- Lagrange County Council on Aging
- Lagrange County Dba Lagrange County Health Department (LaGrange County Health Department)
- Lagrange County Home Health Therapy Services,PC
- Lagrange Family Dentistry LLC
- Lagrange Surgery Center, LLC
- Lakeland School Corporation
- Stacey Lang, DPT
- Emily E. Lehman, MSED
- Stephen A Leininger, MA
- Isaac Gerardo Leon-Acuna, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.