Individual provider Active NPI

Cassidy Jade Hagel, MSW, LICSWA

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1790591634
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SC61331390 Issued in WA
Practice address
9921 N Nevada St Ste 103
Spokane, WA 99218-1145
Phone
(509) 606-0588
Fax
(509) 593-8113
NPI assigned
Dec 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SC61331390 WA Primary

Addresses

Primary practice location

9921 N Nevada St Ste 103
Spokane, WA 99218-1145

Mailing address

4009 N Wall St
Spokane, WA 99205-1166
Phone (509) 991-3934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20251002003889 WA Practitioner - Clinical Social Worker 6305342858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brave Counseling ServicesGroup PAC ID 5294273264, 5 clinicians

Practice addresses (Care Compare)

9921 N Nevada St
Suite 103
Spokane, WA 99218-1145
Phone (509) 581-2690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC61331390WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Counseling Services Mental Health CurrentSince Jul 19, 2025 Accepting new patients

Locations

9631 N Nevada St
Ste 311
Spokane, WA 99218
Phone (509) 316-2435

9921 N Nevada St
Ste 103
Spokane, WA 99218
Phone (509) 581-2690

200 N Mullan Rd
Ste 120
Spokane Valley, WA 99206
Phone (509) 519-6850

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1790591634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 N WALL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051166",
            "telephone_number": "509-991-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9921 N NEVADA ST STE 103",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181145",
            "telephone_number": "509-606-0588",
            "fax_number": "509-593-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEL",
        "first_name": "CASSIDY",
        "middle_name": "JADE",
        "credential": "MSW, LICSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "SC61331390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.