MR. LARRY HAGER (NPI# 1811036882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811036882 |
| Entity Type | Individual |
| Full Name | MR. LARRY HAGER |
| Credential | CATC |
| Practice Address |
3707 Sunset Ln Antioch CA 94509 |
| Mailing Address |
1969 Calaveras Dr Bay Point CA 94565-3352 |
| Practice Telephone | 9255220124 |
| Practice Fax Number | 9255220133 |
| Mailing Telephone | 9255220124 |
| Mailing Fax Number | 9255220133 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
041025 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3707 SUNSET LN |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326052572 | William Lumba Quismorio | General Practice | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2006-07-27 |
| 1598390973 | Brittney Leigh Smith | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2020-03-06 |
| 1922631803 | Katlin Colleen Sullivan | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2020-02-19 |
| 1902378268 | Juana Robinson | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2018-12-27 |
| 1588130116 | Cain Sands | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2018-10-22 |
| 1932602471 | Darrell Joe Goodbeer | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2018-03-12 |
| 1235648510 | Randy Reyes I | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2017-09-29 |
| 1427597236 | Angelina Baldocchi I | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2017-02-14 |
| 1801344882 | Rebecca Graham | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2016-09-19 |
| 1659829802 | Danielle Hebner | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2016-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861646036 | Zahra Rooshen | Counselor | 5506 Dawnview Way, Antioch, CA 94531-8616 | 2008-11-13 |
| 1023213311 | Sue G Mankini | Counselor | 2828 Filbert St, Antioch, CA 94509-7336 | 2007-06-18 |
| 1689875510 | Erion L Moore I | Counselor | 1728 Sanger Peak Way, Antioch, CA 94531-9127 | 2007-05-29 |
| 1811101843 | Agueda Philbin | Counselor | 300 L St, Antioch, CA 94509-1159 | 2007-05-09 |
| 1962624734 | Lendsey Wayne Busby | Counselor | 1915 D St, Antioch, CA 94509-2571 | 2007-05-02 |
| 1801924576 | Felisa D Gaffney | Counselor | 3700 Delta Fair Blvd Ste 210, Antioch, CA 94509 | 2007-03-02 |
| 1780725655 | Mary Powell | Counselor | 3707 Sunset Lane, Antioch, CA 94509-6101 | 2007-02-12 |
| 1992318869 | Skyler Sanderson | Counselor | 1915 D St, Antioch, CA 94509-2571 | 2020-08-28 |
| 1861001216 | Toby Martin Disney | Counselor | 1408 A St, Antioch, CA 94509-2331 | 2020-07-30 |
| 1598390973 | Brittney Leigh Smith | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2020-03-06 |
| Find all providers in ANTIOCH | ||||
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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.