Provider Demographics
NPI:1649040692
Name:HAGER, MINDY MARGARET (LPC)
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:MARGARET
Last Name:HAGER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11011 KING ST STE 222
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1246
Mailing Address - Country:US
Mailing Address - Phone:913-748-1566
Mailing Address - Fax:
Practice Address - Street 1:11011 KING ST STE 222
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1246
Practice Address - Country:US
Practice Address - Phone:913-748-1566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04641101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health