Active NPI
Cari Heather Hagemoser, PLMHP
- Counselor
- La Vista, NE
National Provider Identifier
1760205256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 13944
- Practice address
- 12110 Port Grace Blvd Ste 101
La Vista, NE 68128-3190 - Phone
- (402) 680-2396
- NPI assigned
- Nov 4, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 13944 | NE | Primary |
Addresses
Primary practice location
12110 Port Grace Blvd Ste 101
La Vista, NE 68128-3190
Mailing address
12924 Nicholas St
Omaha, NE 68154-1254
Phone (402) 680-2397
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 |
|---|---|---|---|
| 13944 | NE | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1760205256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12924 NICHOLAS ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681541254",
"telephone_number": "402-680-2397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12110 PORT GRACE BLVD STE 101",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681283190",
"telephone_number": "402-680-2396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEMOSER",
"first_name": "CARI",
"middle_name": "HEATHER",
"credential": "PLMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NE",
"license": "13944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Vista, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.