MR. KERRY CARL HAGAN (NPI# 1700046497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700046497 |
| Entity Type | Individual |
| Full Name | MR. KERRY CARL HAGAN |
| Credential | LMFT LPC |
| Practice Address |
441 N Fredonia St Longview TX 75601-6427 |
| Mailing Address |
Po Box 3466 Longview TX 75606-3466 |
| Practice Telephone | 9037576886 |
| Practice Fax Number | 9037576905 |
| Mailing Telephone | 9037576886 |
| Mailing Fax Number | 9037576905 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2012-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
16024 | TX | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 5010 | TX | Behavioral Health & Social Service Providers |
| Street Address |
441 N FREDONIA ST |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-6427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
| 1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
| 1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
| 1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| Find all providers in zip 75601 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275764912 | Rene Savard | Marriage & Family Therapist | 608 Oakdale Ave, Longview, TX 75602-2046 | 2009-07-29 |
| 1427180603 | Fay Slusher | Marriage & Family Therapist | 600 Broadway Street, Peacehealth, Longview, WA 98632 | 2007-03-12 |
| 1538666532 | Cherry V Foultner | Marriage & Family Therapist | 831 12th Ave, Longview, WA 98632 | 2018-04-07 |
| 1831597384 | Patricia Andersen | Marriage & Family Therapist | 1157 3rd Ave Ste 100, Longview, WA 98632-6007 | 2014-12-16 |
| 1285940866 | Lizett Maclaurin | Marriage & Family Therapist | 921 14th Ave, Longview, WA 98632-2316 | 2010-08-20 |
| 1629306105 | Chantelle Aloha Eckert | Marriage & Family Therapist | 921 14th Ave, Longview, WA 98632-2316 | 2009-11-22 |
| 1639315179 | Jolivia Porter | Marriage & Family Therapist | 720 14th Avenue, Longview, WA 98632 | 2009-01-06 |
| 1619113420 | Bethany D'aun Willis | Marriage & Family Therapist | 720 14th Avenue, Longview, WA 98632 | 2008-12-29 |
| 1588704886 | Debra Perko Kornberg | Marriage & Family Therapist | 720 14th Ave, Longview, WA 98632-2315 | 2007-02-07 |
| 1154489961 | Paula Clark Warme | Marriage & Family Therapist | 1339 Commerce Ave, Suite 310 D, Longview, WA 98632-3738 | 2006-12-05 |
| Find all providers in LONGVIEW | ||||
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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.