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MICHAEL JOHN HAGAN LMFT #131272
NPI 1124657408
Marriage & Family Therapist in San Diego, CA

Active since April 07, 2020PECOS Enrolled
2469 C ST, SAN DIEGO, CA 92102(619) 565-4494 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2023, Jul 11, 2022, Apr 7, 2020 (3 updates tracked since 2020).

About Michael John Hagan Lmft #131272 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JOHN HAGAN LMFT #131272 (NPI 1124657408) is an individual marriage & family therapist in San Diego, California, licensed in California (131272) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124657408
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMICHAEL JOHN HAGANCredential: LMFT #131272
Location Address2469 C STSan Diego, CA 92102-2019
Mailing AddressPo Box 191614San Diego, CA 92159-1614 · (619) 565-4494
Phone(619) 565-4494
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 7, 2020
Last NPPES UpdateFebruary 2, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2024
✔ NPI 1124657408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 131272
Definition
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.
2469 C ST, San Diego, CA 92102
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Secondary Practice Location 1

Location 15060 Shoreham Pl Ste 330San Diego, CA 92122-5976 · Phone (877) 840-6956 · Fax (619) 383-6701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael John Hagan Lmft #131272 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608228762
PECOS Enrollment IDI20240115001077
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Hagan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fusion Care Group, A Psychological Professional Corporation
28 mi
Clinical
2271 ALPINE BLVD STE A
Alpine, CA 91901
  • Reassigned Medicare billing, California enrollment
  • 92 clinicians in this Medicare group
NPI 1275177982 (619) 448-1216

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Hagan's NPI number?

The NPI number for Michael Hagan is 1124657408. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Michael Hagan located?

Michael Hagan practices at 2469 C St, San Diego, CA 92102. The listed phone number is (619) 565-4494.

What is Michael Hagan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Michael Hagan enrolled in Medicare?

Yes. Michael Hagan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Hagan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Hagan reassigns Medicare benefits to Fusion Care Group, A Psychological Professional Corporation (Alpine, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Hagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Hagan was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.