Trina M Hagemyer, M.A., PC, CR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.0700161 Issued in OH

Practice address

601 State Route 224
St. Rita'S Ambulatory Care Center
Glandorf, OH 45848

Phone

(419) 538-6000

Fax

(419) 538-6220

NPI assigned

Dec 27, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1912181835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 EAST MERRY ST PSYCHOLOGICAL SERVICES CENTER",
            "address_2": "300 PSYCHOLOGY BUILDING, BGSU",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434030232",
            "telephone_number": "419-372-2540",
            "fax_number": "419-372-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STATE ROUTE 224",
            "address_2": "ST. RITA'S AMBULATORY CARE CENTER",
            "city": "GLANDORF",
            "state": "OH",
            "postal_code": "45848",
            "telephone_number": "419-538-6000",
            "fax_number": "419-538-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEMYER",
        "first_name": "TRINA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.A., PC, CR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.0700161",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.0700161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0747240",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Abigail Hilvers, OD
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• Mandy A Klass, M.D.

• Mental Health Counselor in Glandorf, OH
• Providers in Glandorf, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.