HEATHER LEE HAGEN (NPI# 1235612003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235612003 |
| Entity Type | Individual |
| Full Name | HEATHER LEE HAGEN |
| Credential | CAAR |
| Practice Address |
9300 Ne Oak View Dr Vancouver WA 98662-6157 |
| Practice Telephone | 3605672211 |
| Practice Fax Number | 3605672212 |
| Mailing Telephone | 3605672211 |
| Mailing Fax Number | 3605672212 |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2020-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 60882921 | WA | Behavioral Health & Social Service Providers |
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2107633 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 720 14th Ave, Longview, WA 986322315 | 3604230203 | 3604235086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396261335 | Heather Hagen | Marriage & Family Therapist | 5020 Campus Dr, Newport Beach, CA 92660-2120 | 2017-08-22 |
| 1659803799 | Heather Hagen | Behavior Technician | 1230 Tenderfoot Hill Rd, Ste 305, Colorado Springs, CO 80906-7346 | 2017-03-29 |
| 1922448877 | Heather Hagen | Pediatrics | 424 W Highway 5, Waconia, MN 55387-1723 | 2013-06-25 |
| 1710143060 | Heather Hagen | Dentist | 3604 Preston Rd, Suite 400, Plano, TX 75093-8629 | 2008-08-05 |
| Street Address |
9300 NE OAK VIEW DR |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662-6157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710028220 | Doris Dodson | Social Worker | 9300 Ne Oak View Dr, Suite A, Vancouver, WA 98662-6347 | 2007-02-08 |
| 1487269221 | Kristen Morgan Reichert | Counselor | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2020-09-09 |
| 1598377376 | Janelle J Shamp | Counselor | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2020-08-21 |
| 1548887870 | Oscar Daniel Beltran Leyva | Peer Specialist | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2020-07-02 |
| 1972129187 | Tessa Lynn Turner | Counselor | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2020-06-23 |
| 1033735238 | Joseph Daniel O'neil | Counselor | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2020-06-23 |
| 1831715028 | Lily H Dragon | Counselor | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2020-06-23 |
| 1336760917 | Lindsey Sinks | Peer Specialist | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2020-05-05 |
| 1417576505 | Mariah Boger | Counselor | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2020-04-09 |
| 1639798721 | Michelle Hawkins | Counselor | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
| 1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
| 1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| Find all providers in zip 98662 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720554256 | Kay Marie Roberson | Peer Specialist | 1601 E Fourth Plain Blvd Ste A-152, Vancouver, WA 98661-3713 | 2018-10-23 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1043713449 | Claudia Gutierrez | Peer Specialist | 4601 E 18th St, Vancouver, WA 98661-6270 | 2018-03-12 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1225547151 | Dionne Marie Clark | Peer Specialist | 9105 Ne Highway 99 Ste 201a, Vancouver, WA 98665-8974 | 2017-09-22 |
| 1265974620 | Amanda Ewing | Peer Specialist | 16417 Ne 73rd St, Vancouver, WA 98682-1918 | 2016-11-15 |
| 1104438282 | Aydree Lee Stuart | Peer Specialist | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-08-19 |
| 1548887870 | Oscar Daniel Beltran Leyva | Peer Specialist | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2020-07-02 |
| 1336760917 | Lindsey Sinks | Peer Specialist | 9300 Ne Oak View Dr, Vancouver, WA 98662-6157 | 2020-05-05 |
| 1295356236 | Susan Mordick | Peer Specialist | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 | 2020-04-30 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.