Alicia Hagstrom, LPC-MH, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

5000 S Minnesota Ave Ste 300
Sioux Falls, SD 57108-2700

Phone

(605) 231-8387

Fax

(833) 354-8222

NPI assigned

Jun 27, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in SD

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MK Counseling LLCGroup PAC ID 3870991185, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• MK Counseling LLC

  • Social Worker
  • Sioux Falls, SD
  • NPI 1457029597

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Paws for Healing Counseling and Consulting

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1780513929
  NPD Authorized official

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1811629199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 S MINNESOTA AVE STE 300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082700",
            "telephone_number": "605-231-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S MINNESOTA AVE STE 300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082700",
            "telephone_number": "605-231-8387",
            "fax_number": "833-354-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGSTROM",
        "first_name": "ALICIA",
        "credential": "LPC-MH, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Marie Hagerty, DNAP, CRNA
• Jessica Hagg, AUD
• Jennifer Ann Haggar, M.D.
• Amy A Haggerty, PHARM D
• Emily Renee Haggerty, M.D.
• Elizabeth Hahn, FNP-C
• Kim Marie Hahn
• Derik James Hai, MASSAGE THERAPISTS
• Haiar Dental PLLC
• Kevin Michael Haiar, D.D.S.

• Professional Counselor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Professional Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.