Active NPI
Gordon Hagbourne, LCSW, LCDC
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1649491564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 42670
- Practice address
- 3000 Oak Springs Dr
Austin, TX 78702-2531 - Phone
- (512) 804-3527
- Fax
- (512) 804-3590
- NPI assigned
- May 1, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10249 | TX | |
| Mental Health Counselor | 101YM0800X | 42670 | TX | Primary |
| Clinical Social Worker | 1041C0700X | 42670 | TX |
Addresses
Primary practice location
3000 Oak Springs Dr
Austin, TX 78702-2531
Mailing address
1430 Collier St
Austin, TX 78704-2911
Phone (512) 445-7787
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10249 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 42670 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1649491564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 COLLIER ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787042911",
"telephone_number": "512-445-7787",
"fax_number": "512-440-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 OAK SPRINGS DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787022531",
"telephone_number": "512-804-3527",
"fax_number": "512-804-3590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGBOURNE",
"first_name": "GORDON",
"name_prefix": "Mr.",
"credential": "LCSW, LCDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "10249",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "42670",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "42670",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.