Active NPI
Samuel C. Hagston, LPC
- Professional Counselor
- Warrensburg, MO
National Provider Identifier
1992328652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2020011795
- Practice address
- 703 N Devasher Rd
Warrensburg, MO 64093-9322 - Phone
- (888) 403-1071
- NPI assigned
- May 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2020011795 | MO | Primary |
Addresses
Primary practice location
703 N Devasher Rd
Warrensburg, MO 64093-9322
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other practice location 1
616 Burkarth Rd
Warrensburg, MO 64093-1462
Phone (888) 403-1071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655424000000",
"number": "1992328652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 COMMUNITY",
"city": "CLINTON",
"state": "MO",
"postal_code": "647358804",
"telephone_number": "660-885-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 N DEVASHER RD",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640939322",
"telephone_number": "888-403-1071"
}
],
"practiceLocations": [
{
"address_1": "616 Burkarth Rd",
"address_purpose": "LOCATION",
"city": "Warrensburg",
"state": "MO",
"postal_code": "640931462",
"country_code": "US",
"telephone_number": "888-403-1071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAGSTON",
"first_name": "SAMUEL",
"middle_name": "C.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-28",
"last_updated": "2022-06-17",
"certification_date": "2022-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2020011795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrensburg, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.