JOSHUA H HAGERSTROM (NPI# 1861763021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861763021 |
Entity Type | Individual |
Full Name | JOSHUA H HAGERSTROM |
Credential | LPC |
Practice Address |
701 Devonshire Dr Suite B1 Champaign IL 61820-7337 |
Practice Telephone | 2173520200 |
Practice Fax Number | 2173520200 |
Mailing Telephone | 2173520200 |
Mailing Fax Number | 2173520200 |
Enumeration Date | 2012-01-19 |
Last Update Date | 2012-01-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
178007915 | IL | Behavioral Health & Social Service Providers |
Street Address |
701 DEVONSHIRE DR SUITE B1 |
City | CHAMPAIGN |
State | IL |
Zip Code | 61820-7337 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548362692 | Richard Grey Lord Sr. | Dentist | 701 Devonshire Dr, D1, Champaign, IL 61820-7356 | 2006-09-01 |
1073023776 | C.r. Booker Mediation & Counseling Inc. | Social Worker | 701 Devonshire Dr, C-35, Champaign, IL 61820-7337 | 2017-10-07 |
1396270575 | Megan Strom | Social Worker | 701 Devonshire Dr, Suite B1, Champaign, IL 61820-7337 | 2017-04-26 |
1871047209 | Cunningham Children's Home of Urbana Il | Clinic/Center | 701 Devonshire Dr, Champaign, IL 61820-7337 | 2016-08-15 |
1669893244 | Rachel Kurtz | Social Worker | 701 Devonshire Dr, Suite B1, Champaign, IL 61820-7337 | 2013-12-26 |
1093087728 | Kleppin and Associates | Counselor | 701 Devonshire Dr, Suite 201, Champaign, IL 61820-7337 | 2012-01-26 |
1992074215 | Jonathan William Thomas-stagg | Psychologist | 701 Devonshire Dr, Champaign, IL 61820-7337 | 2011-12-14 |
1467738450 | Wendi J Crabtree | Counselor | 701 Devonshire Dr, Suite B15, Champaign, IL 61820-7337 | 2011-10-23 |
1437443561 | Michael Thomas Kleppin | Counselor | 701 Devonshire Dr, Suite 201, Champaign, IL 61820-7337 | 2011-06-06 |
1356640700 | Kenna Dunlap Johnson | Social Worker | 701 Devonshire Dr, Suite B15, Champaign, IL 61820-7337 | 2011-03-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
Find all providers in zip 61820 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932726684 | Lauren England | Counselor | 201 W Springfield Ave Ste 1002, Champaign, IL 61820-4834 | 2020-06-29 |
1710514971 | Joy Tamberlin Henderson | Counselor | 4112 Fieldstone Rd Suite B, Champaign, IL 61820-6182 | 2020-03-26 |
1124588900 | Alicia Severins | Counselor | 3362 Big Pine Trl Ste A, Champaign, IL 61822-1409 | 2019-03-20 |
1558796888 | Julie Ann Cochrane | Counselor | 3505 Lakeshore Dr, Champaign, IL 61822-5201 | 2013-09-05 |
1487927372 | Carol J Claxon | Counselor | 810 Sedgegrass Dr, Champaign, IL 61822-2024 | 2012-02-23 |
1740571462 | Laura Nichole Pierceall | Counselor | 502 West Market Street, Champaign, IL 61820 | 2011-04-28 |
1174836704 | Catherine E Morgan Look | Counselor | 1701 Sheridan Rd, Champaign, IL 61821-4810 | 2010-07-25 |
1851627293 | Lisa M. Billman | Counselor | 202 W. Park St, Champaign, IL 61820 | 2009-10-20 |
1407034853 | Kara M. Morgan | Counselor | 1401 W Green St, Champaign, IL 61821-3822 | 2008-02-07 |
1740467877 | Heidi M Mcgill | Counselor | 2919 Crossing Court, Suite 6, Champaign, IL 61822 | 2008-01-31 |
Find all providers in CHAMPAIGN |
Please comment or provide details below to improve the information on JOSHUA H HAGERSTROM.
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.