Active NPI
Cindy Michelle Hagan, LPC
- Professional Counselor
- Clinton Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| L2245394 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macomb Family Services, Inc. | Current | Accepting new patients | |
| Better Life Wellness & Recovery Counseling LLC | Professional | Current | Accepting new patients |
| Macomb Family Services, Inc | Past | 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
- 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.
-
- Clinical Social Worker
- Clinton Township, MI
- NPI 1831190701
-
- Professional Counselor
- Utica, MI
- NPI 1457057812
-
- Clinical Social Worker
- Clinton Township, MI
- NPI 1326599036
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.