Jennifer Michelle Hagan, LCMHC AND MLADC
Individual provider Active NPI Mental Health Counselor · Lancaster, NH
NPI 1669744959 · NPPES record last updated Jun 17, 2020
Key facts
- NPI
- 1669744959
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 1165 (NH)
- Practice address
- 170 Middle St
Lancaster, NH 03584-3556 - Phone
- (603) 788-2521
- Fax
- (603) 788-5092
- NPI assigned
- Feb 1, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Littleton Hospital Association | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1165 | NH | Yes |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1165 | NH |
Addresses
Primary practice location
170 Middle St
Lancaster, NH 03584-3556
Mailing address
173 Middle St
Lancaster, NH 03584-3508
Phone (603) 788-5029
Other practice location 1
47 Church St
Groveton, NH 03582-4061
Phone (603) 636-1101
Other practice location 2
173 Middle St
Lancaster, NH 03584-3508
Phone (603) 788-4911
Other practice location 3
8 Clover Ln
Whitefield, NH 03598-3343
Phone (603) 837-9005
Other practice location 4
43 Main St
North Stratford, NH 03590-4005
Phone (603) 922-5039
Other practice location 5
11 Riverglen Ln
Littleton, NH 03561-5748
Phone (603) 259-1659
Other practice location 6
7 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 342-5000
Other practice location 7
580 Saint Johnsbury Rd Ste 25
Littleton, NH 03561-3437
Phone (603) 788-2521
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1031689 | Medicaid | VT | |
| 3105566 | Medicaid | NH |
Other providers in Lancaster, NH
- Lindsey Catherine Foss
- Lisa Jean Gagne
- Genesis Rehab Services
- Genesis Rehab Services
- Nadine Lynn Gilcris
- Stacey Hicks
- Hometown Eye Care of Lancaster
- Jackson Psychological Services, LLC
- Trina Bothe Jackson
- Jeffrey J Johnson
All providers in Lancaster, NH · Mental Health Counselor in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.