Individual provider Active NPI

James Allan Hagman, M.ED., LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Henderson, KY
National Provider Identifier
1710540729
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
166634 Issued in KY
Practice address
401 Hoffman Dr Ste L
Henderson, KY 42420-3390
Phone
(270) 826-5216
Fax
(270) 826-2034
NPI assigned
Apr 16, 2019
Last updated
Apr 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 166634 KY Primary

Addresses

Primary practice location

401 Hoffman Dr Ste L
Henderson, KY 42420-3390

Mailing address

401 Hoffman Dr Ste L
Henderson, KY 42420-3390
Phone (270) 826-5216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260619001516 KY Practitioner - Mental Health Counselor 8628502242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

415 Crosslake Dr C
Evansville, IN 47715-8272

PO Box
Evansville, IN 47706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
166634KYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Counseling Services PLLC Addiction (Substance Use Disorder) CurrentSince Dec 1, 2023 Accepting new patients

Locations

401 Hoffman Dr
Ste L
Henderson, KY 42420
Phone (270) 826-2034

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1710540729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HOFFMAN DR STE L",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203390",
            "telephone_number": "270-826-5216",
            "fax_number": "270-826-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HOFFMAN DR STE L",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203390",
            "telephone_number": "270-826-5216",
            "fax_number": "270-826-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGMAN",
        "first_name": "JAMES",
        "middle_name": "ALLAN",
        "credential": "M.ED., LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "166634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.