Laurie Hagen, LSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

12202 Issued in MN

Practice address

520 3Rd Ave NW
Jamestown, ND 58401-3016

Phone

(701) 253-6300

Fax

(701) 253-6400

NPI assigned

Jan 20, 2016

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

Other names 1

• Laurie Nelson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• South Central Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jamestown, ND
  • NPI 1225075906
  NPD (past)
• South Central Human Service Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jamestown, ND
  • NPI 1093542391
  NPD (past)

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1881051928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2055",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584022055",
            "telephone_number": "701-253-6300",
            "fax_number": "701-253-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 3RD AVE NW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013016",
            "telephone_number": "701-253-6300",
            "fax_number": "701-253-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "LAURIE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "12202",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "NELSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Gussiaas, MS, CCC-SLP
• Maranda Guthmiller
• Melissa Guthmiller
• Kristi S Haas
• Joleen R Hagen
• Wendy L Hager, CDE
• Jo A Hallock, LPN
• Lindsey Aberle Hallsten, LAC LICENSED ADDICTI
• Asia Hamlin, MSN, FNP-C
• Jerrod Hann, D.C.

• Counselor in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.