MRS. TARA MAE HAGAN (NPI# 1174564892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174564892 |
| Entity Type | Individual |
| Full Name | MRS. TARA MAE HAGAN |
| Credential | M.S., LPCC |
| Practice Address |
315 Public Sq Ste 203 Troy OH 45373-5202 |
| Practice Telephone | 9372165290 |
| Mailing Telephone | 9372165290 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2019-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | E4007 | OH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 113 N Ohio Ave, Suite 200, Sidney, OH 453652786 | 9374924920 | 9374924945 |
| Street Address |
315 PUBLIC SQ STE 203 |
| City | TROY |
| State | OH |
| Zip Code | 45373-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| Find all providers in zip 45373 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746601 | Cathleen Burks | Counselor | 384 Rockport Dr, Troy, MO 63379 | 2020-10-08 |
| 1821611336 | Lakeisha E Goshea | Counselor | 215 Falcon Dr, Troy, AL 36079-5916 | 2020-05-19 |
| 1760019020 | Ryan Taylor | Counselor | 305 Public Sq Ste 2, Troy, OH 45373-3894 | 2020-03-26 |
| 1912534843 | Barbara A Maynard | Counselor | 1503 Massachusetts Ave, Troy, NY 12180-1718 | 2020-03-23 |
| 1144868316 | Erin Joy Mercer | Counselor | 3101 Caswell Dr, Troy, MI 48084-1275 | 2019-12-18 |
| 1063059707 | You Matter Therapy Services Pplc | Counselor | 2888 E. Long Lake Suite 130, Troy, MI 48085-3793 | 2019-12-02 |
| 1336790617 | Kari Elizabeth Regehr | Counselor | 317 Ray Ave, Troy, AL 36081-3828 | 2019-09-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1528566189 | Janet Langtry | Counselor | 5153 Hale Dr, Troy, MI 48085-3401 | 2018-01-30 |
| 1306361423 | Amber Throgmorton | Counselor | 117 Absolut Ln, Troy, MO 63379-5748 | 2017-08-09 |
| Find all providers in TROY | ||||
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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.