Randall Hager, LMHP, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5952 Issued in NE

Practice address

8790 F St
Omaha, NE 68127-1524

Phone

(402) 213-0244

Fax

(402) 702-1540

NPI assigned

Sep 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Authentic Life Care, LLC

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1710758446
  NPD Authorized official

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1922658822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 461004",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680461004",
            "telephone_number": "402-213-0244",
            "fax_number": "402-702-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 F ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271524",
            "telephone_number": "402-213-0244",
            "fax_number": "402-702-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "RANDALL",
        "credential": "LMHP, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-13",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill M. Hagenkord, M.D.
• Lori Louise Hagensen, C.O.T.
• Michelle Kathleen Hagenson, RN, CWON
• Abby Layne Hager
• Kaitlyn Hager
• Victoria M Hagerich, PA-C
• Keely J Hagerty, APRN
• John A Haggstrom, MD
• Amy Marie Hagler, PCMSW AND PLMHP
• Pierre Hagler

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.

Verify at the official NPI Registry.