Kerry Carl Hagan, LMFT LPC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

5010 Issued in TX

Practice address

441 N Fredonia St
Longview, TX 75601-6427

Phone

(903) 757-6886

Fax

(903) 757-6905

NPI assigned

Jun 16, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1700046497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3466",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756063466",
            "telephone_number": "903-757-6886",
            "fax_number": "903-757-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N FREDONIA ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016427",
            "telephone_number": "903-757-6886",
            "fax_number": "903-757-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "KERRY",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "LMFT LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16024",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "5010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H8Pain Pain Management Center of Texas (Sleep Study Centers of Texas)
• H8Pain Pain Management Center of Texas PLLC (The Pain Management Center of Texas)
• H8Pain Pain Management Center of Texas PLLC (The Pain Management Center of Texas)
• Rachael Ann Hacker, NP
• Patricia Hadley
• Ruby Darlene Haggerton, ANP
• Rachel Marie Hagler, CRNA
• Alana Hahn, D.O.
• Hannah Leigh Hale
• Sara Elizabeth Hale

• Marriage & Family Therapist in Longview, TX
• Providers in Longview, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.