MRS. ANNA B HAGAN M.ED., ED.S., NPI 1285934216 - Counselor in Kingsport, TN

MRS. ANNA B HAGAN M.ED., ED.S. NPI 1285934216

Counselor (Professional) in Kingsport, TN

Individual Female Counselor Professional

About ANNA HAGAN

Anna Hagan is a provider established in Kingsport, Tennessee and her medical specialization is counselor. The NPI number of Anna Hagan is 1285934216 and was assigned on October 2010. The practitioner's primary taxonomy code is 101YP2500X with license number LPC0000002588 (TN). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI

1285934216

Provider NameMRS. ANNA B HAGAN M.ED., ED.S.
Provider Location Address441 CLAY ST KINGSPORT, TN 37660
Provider Mailing Address4550 OLD STAGE RD KINGSPORT, TN 37664
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date10-25-2010
Last Update Date10-25-2010

Primary Taxonomy

Taxonomy Code101YP2500X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationProfessional
License No.LPC0000002588
License StateTN

Business Address

MRS. ANNA B HAGAN M.ED., ED.S.
441 CLAY ST
KINGSPORT, TN
ZIP 37660
Phone: (423) 218-2275
Fax: (423) 247-1117

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Mailing Address

MRS. ANNA B HAGAN M.ED., ED.S.
4550 OLD STAGE RD
KINGSPORT, TN
ZIP 37664
Phone: (423) 218-2275
Fax: (423) 247-1117

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthMH 9820FLNo

Taxonomy Description:

2106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistNo

Taxonomy Description: 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.

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043703739MRS. CHRISTA JO POWELL LPC-MHSP
Individual
Counselor (Professional)441 CLAY ST
KINGSPORT, TN 37660
(423) 247-4536
1801305081 HEATHER BRADDOCK LPC-MHSP
Individual
Counselor (Mental Health)441 CLAY ST
KINGSPORT, TN 37660
(423) 247-4536
1962569632MRS. PAULA ELIZABETH HOOD LMFT
Individual
Marriage & Family Therapist441 CLAY ST
KINGSPORT, TN 37660
(423) 247-4536

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.