Kasey Lynn Hagler, MA, LPC, SCL, NCC
Individual provider Active NPI Professional Counselor · East Grand Rapids, MI
NPI 1730733437 · NPPES record last updated Jul 31, 2019
Key facts
- NPI
- 1730733437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6401013645 (MI)
- Practice address
- 1771 Warwick Rd SE
East Grand Rapids, MI 49506-4562 - Phone
- (231) 620-1357
- NPI assigned
- Jul 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401013645 | MI | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401013645 | MI | Yes |
Addresses
Primary practice location
1771 Warwick Rd SE
East Grand Rapids, MI 49506-4562
Mailing address
1771 Warwick Rd SE
East Grand Rapids, MI 49506-4562
Phone (231) 620-1357
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All providers in East Grand Rapids, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2019. 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.