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HAGAN BLACK
NPI 1497479596
Counselor - Mental Health in West Hollywood, CA

Active since October 03, 2022
9024 HARRATT ST, WEST HOLLYWOOD, CA 90069(323) 640-5282 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hagan Black NPPES

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

HAGAN BLACK (NPI 1497479596) is an individual mental health provider in West Hollywood, California, licensed in California (CI36260822) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1497479596
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameHAGAN BLACK
Location Address9024 HARRATT STWest Hollywood, CA 90069-3804
Mailing Address451 Inverness DrLa Canada Flintridge, CA 91011-4144 · (323) 640-5282
Phone(323) 640-5282
Sole ProprietorNo
Enumeration DateOctober 3, 2022
Last NPPES UpdateOctober 6, 2022
NPPES CertifiedOctober 6, 2022
✔ NPI 1497479596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · CI36260822
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CI36260822 (CA)
9024 HARRATT ST, West Hollywood, CA 90069
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Other Identifiers 1

Medicaid11818CA

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 Hagan Black's NPI number?

The NPI number for Hagan Black is 1497479596. It was assigned to this individual provider in the NPPES registry on October 3, 2022.

Where is Hagan Black located?

Hagan Black practices at 9024 Harratt St, West Hollywood, CA 90069. The listed phone number is (323) 640-5282.

What is Hagan Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Hagan Black was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.