Active NPI
Robert Charles Gagen, LCAC
- Addiction (Substance Use Disorder) Counselor
- Lafayette, IN
National Provider Identifier
1699650366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 87001827A
- Practice address
- 415 N 26TH St Ste 201
Lafayette, IN 47904-2856 - Phone
- (765) 337-3301
- NPI assigned
- Aug 11, 2025
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 87001827A | IN | Primary |
Addresses
Primary practice location
415 N 26TH St Ste 201
Lafayette, IN 47904-2856
Mailing address
415 N 26TH St Ste 201
Lafayette, IN 47904-2856
Phone (866) 682-5539
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
| License | State | Type | Specialty |
|---|---|---|---|
| 87001827A | IN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1699650366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N 26TH ST STE 201",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042856",
"telephone_number": "866-682-5539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N 26TH ST STE 201",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042856",
"telephone_number": "765-337-3301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGEN",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"credential": "LCAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-11",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "87001827A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.