NICOLE HAGERTY (NPI# 1376915306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376915306 |
| Entity Type | Individual |
| Full Name | NICOLE HAGERTY |
| Credential | MA, LMHC |
| Practice Address |
1319 Ne 134th St Ste 111 Vancouver WA 98685-2717 |
| Mailing Address |
10504 Ne 88th St Vancouver WA 98662-2176 |
| Practice Telephone | 3604339664 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
60860952 | WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2727 E Evergreen Blvd Ste B, Vancouver, WA 986614900 | 3609014816 |
| Street Address |
1319 NE 134TH ST STE 111 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98685-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457711632 | Rebekah Crawford | Counselor | 1319 Ne 134th St Ste 111, Vancouver, WA 98685-2717 | 2016-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650112 | Zachary Dodds | Massage Therapist | 12314 Nw 42nd Ct, Vancouver, WA 98685 | 2020-05-13 |
| 1760996425 | Eric Moore | Physical Therapy Assistant | 1308 Ne 134th Street, Suite 110, Vancouver, WA 98685 | 2017-11-16 |
| 1942711767 | Julie B Lawrence | Nurse Practitioner | 900 Ne 139th Street, Suite 202, Vancouver, WA 98685 | 2017-10-19 |
| 1538688668 | Carrie Roxann Wolfe | Counselor | 1313 Ne 134th St Ste 220a, Vancouver, WA 98685 | 2017-09-09 |
| 1548719461 | Mirror Pond Dental, LLC | Dentist | 1412 Ne 134th St. Suite 120, Vancouver, WA 98685 | 2016-10-04 |
| 1629522958 | Deanna Carter | Massage Therapist | 1319 Ne 134th Street, Vancouver, WA 98685 | 2016-08-03 |
| 1417329020 | Kaleen Hoyt | Massage Therapist | 1319 Nw 134th St Suit 103, Vancuver, WA 98685 | 2015-10-22 |
| 1497173066 | Kelley Heffelfinger | Behavioral Analyst | 9901 Ne 7th Ave., Suite C-116, Vancouver, WA 98685 | 2014-04-01 |
| 1548512791 | Elana S Kier | Social Worker | 10000 Ne 7th Ave Ste 100b, Vancouver, WA 98685 | 2012-10-12 |
| 1922370469 | Brian R Timms | Chiropractor | 1412 Ne 134th St Ste 100, Vancouver, WA 98685 | 2012-01-30 |
| Find all providers in zip 98685 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463878 | Andrew Accornero | Counselor | 108 Se 124th Ave Ste 17, Vancouver, WA 98684-6015 | 2020-10-08 |
| 1962024703 | Sarah Elizabeth Wahl | Counselor | 10919 Ne Sherwood Dr, Vancouver, WA 98686-4324 | 2020-05-14 |
| 1922632900 | Jeremy Houtsma Counseling LLC | Counselor | 601 Main St Ste 309, Vancouver, WA 98660-3404 | 2020-02-27 |
| 1194367631 | Ashley Amber Thomas | Counselor | 5732 Ne 131st Pl, Vancouver, WA 98682-2277 | 2019-10-16 |
| 1164073698 | Michelle L Drake | Counselor | 9606 Ne 19th St, Vancouver, WA 98664-2983 | 2019-09-25 |
| 1306496260 | Shaina Lee Heimerl | Counselor | 4317 Ne Thurston Way Ste 11, Vancouver, WA 98662-6658 | 2019-09-12 |
| 1205497013 | Natasha Marie Medina | Counselor | 1104 Main St Ste M105, Vancouver, WA 98660-2969 | 2019-06-23 |
| 1295395267 | Nicola R Cook | Counselor | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2019-06-20 |
| 1720643851 | Christine Yoshida | Counselor | 10000 Ne 7th Ave # 100-d, Vancouver, WA 98685-4599 | 2019-05-03 |
| 1679035364 | Breanne Alina Valrance | Counselor | 6601 Ne 71st Ave, Vancouver, WA 98661-1945 | 2019-04-02 |
| 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.