Individual provider Active NPI

Cindy Michelle Hagan, LPC

  • Professional Counselor
  • Clinton Township, MI
National Provider Identifier
1962752543
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
36975 Utica Rd Ste 104
Clinton Township, MI 48036-1685
Phone
(586) 226-3440
NPI assigned
Sep 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X L2245394 MI
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

36975 Utica Rd Ste 104
Clinton Township, MI 48036-1685

Mailing address

8325 Riverland Dr
Apt 3
Sterling Heights, MI 48314-2459
Phone (318) 439-9618

Other practice location 1

8300 Hall Rd Ste 205
Utica, MI 48317-5506
Phone (586) 315-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240229003243 MI Practitioner - Mental Health Counselor 7618312646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macomb Family Services IncGroup PAC ID 5193700888, 19 clinicians

Practice addresses (Care Compare)

36975 Utica Rd
Suite 104
Clinton Township, MI 48036-1685
Phone (586) 226-3440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L2245394MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Family Services, Inc. CurrentSince Feb 6, 2024 Accepting new patients
Better Life Wellness & Recovery Counseling LLC Professional CurrentSince Feb 12, 2023 Accepting new patients
Macomb Family Services, Inc PastSince Feb 6, 2024 Accepting new patients

Locations

36975 Utica Rd
Ste 103
Clinton Twp, MI 48036
Phone (586) 226-3440

36975 Utica Rd
Ste 104
Clinton Twp, MI 48036
Phone (586) 226-3440

8300 Hall Rd
Ste 205
Utica, MI 48317
Phone (586) 315-1800

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/macombfamily/r4/

Organizations & group practices 3

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": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1962752543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 RIVERLAND DR",
            "address_2": "APT 3",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142459",
            "telephone_number": "318-439-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36975 UTICA RD STE 104",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361685",
            "telephone_number": "586-226-3440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 Hall Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "MI",
            "postal_code": "483175506",
            "country_code": "US",
            "telephone_number": "586-315-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "CINDY",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2024-06-25",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "L2245394",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.