MYRIAH LEA HAGERMAN MA
NPI 1518097443
Counselor - Professional in Pueblo, CO

Q: What is Myriah Hagerman's NPI number?

The NPI number for Myriah Hagerman is 1518097443. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Q: What is Myriah Hagerman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Myriah Hagerman was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 March 07, 2007PECOS EnrolledAccepts Medicare Assignment

400 W 16TH ST, PUEBLO, CO 81003(719) 584-4921(719) 595-7994 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Myriah Lea Hagerman Ma NPPES

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

MYRIAH LEA HAGERMAN MA (NPI 1518097443) is an individual professional provider in Pueblo, Colorado and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pueblo, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1518097443

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMYRIAH LEA HAGERMANCredential: MA

Location Address400 W 16TH STPueblo, CO 81003-2745

Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (970) 624-4128 · Fax (970) 490-4156

Phone(719) 584-4921

Fax(719) 595-7994

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMarch 7, 2007

Last NPPES UpdateFebruary 4, 2025

NPPES CertifiedFebruary 4, 2025

✔ NPI 1518097443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 6409 (CO)

400 W 16TH ST, Pueblo, CO 81003

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Secondary Practice Location 1

Location 11302 Chinook LnPueblo, CO 81001-1851 · Phone (719) 545-2746

Other Identifiers 1

Other169944CO · Cprp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Myriah Lea Hagerman Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022548973

PECOS Enrollment IDI20250207002036

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 20

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

MISS EMILY ANNE KEARNEY RDN

Dietitian, Registered