DR. TED W HAGEN II DMIN PHD
NPI 1497717508
Marriage & Family Therapist in Kingsport, TN

Q: What is Ted Hagen's NPI number?

The NPI number for Ted Hagen is 1497717508. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Q: What is Ted Hagen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ted Hagen was last updated on July 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since April 04, 2006PECOS Enrolled

1201 N WILCOX DR STE C, KINGSPORT, TN 37660(423) 765-6276 Get Directions Write a Review

NPPES record last updated: July 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ted W Hagen Ii Dmin Phd NPPES

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

DR. TED W HAGEN II DMIN PHD (NPI 1497717508) is an individual marriage & family therapist in Kingsport, Tennessee, licensed in Tennessee (0000069) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497717508

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameDR. TED W HAGEN IICredential: DMIN PHD

Location Address1201 N WILCOX DR STE CKingsport, TN 37660-4986

Mailing Address1201 N Wilcox Dr Ste CKingsport, TN 37660-4986 · (423) 765-6276

Phone(423) 765-6276

Sole ProprietorYes

Enumeration DateApril 4, 2006

Last NPPES UpdateJuly 20, 2025

NPPES CertifiedJuly 20, 2025

✔ NPI 1497717508 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 TN · 0000069

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.

1201 N WILCOX DR STE C, Kingsport, TN 37660

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ted W Hagen Ii Dmin Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYDIA HAUREZ LPC-MHSP

Counselor (Mental Health)

1201 N WILCOX DR STE C
KINGSPORT, TN 37660

Sullivan County (423) 225-3757

SUMMER DAYS THERAPY LLC

Social Worker (Clinical)

1201 N WILCOX DR STE C
KINGSPORT, TN 37660

Sullivan County (423) 218-9214

RAINBOW CONNECTION THERAPY, LLC

Counselor (Mental Health)

1201 N WILCOX DR STE C
KINGSPORT, TN 37660

Sullivan County (423) 225-3757

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 Ted Hagen's NPI number?

The NPI number for Ted Hagen is 1497717508. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Ted Hagen located?

Ted Hagen practices at 1201 N Wilcox Dr Ste C, Kingsport, TN 37660. The listed phone number is (423) 765-6276.

What is Ted Hagen's specialty?

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

Is Ted Hagen enrolled in Medicare?

Yes. Ted Hagen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ted Hagen was last updated on July 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.