Stephen Ladislav Hagg, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC017657 Issued in PA

Practice address

6500 Brooktree Rd Ste 210
Wexford, PA 15090-9272

Phone

(724) 719-2669

NPI assigned

Nov 27, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revelations Counseling and WellnessGroup PAC ID 3274061791, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Revelations Counseling & Wellness

  • Professional Counselor
  • Wexford, PA
  • NPI 1215764550
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1972329571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 BROOKTREE RD STE 210",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909272",
            "telephone_number": "724-719-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 BROOKTREE RD STE 210",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909272",
            "telephone_number": "724-719-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGG",
        "first_name": "STEPHEN",
        "middle_name": "LADISLAV",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-27",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS",
            "identifier": "PC017657",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Haberman, PHARMD
• William Hagberg, MD
• Joshua Wayne Hagen, M.D. PHD
• Brandi Nicole Hagerty, LSW
• Effie Hages, OTR
• David G Hahn, MPT
• Megan Elizabeth Hails, MA, NCC
• Kyle Hale, CRNP, PMHNP
• Emily Halm
• Erin M Hamilton I, COTA

• Professional Counselor in Wexford, PA
• Providers in Wexford, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.

Verify at the official NPI Registry.