TERRIS LEIGH HAGAN
NPI 1538712302
Counselor - Mental Health in Marietta, GA

Active since July 22, 2019Opted out of Medicare · through Jan 31, 2028
1640 POWERS FERRY RD, BLDG 9, SUITE 330, MARIETTA, GA 30067(404) 482-2334 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2022, Jul 22, 2019 (2 updates tracked since 2019).

About Terris Leigh Hagan NPPES

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

TERRIS LEIGH HAGAN (NPI 1538712302) is an individual mental health provider in Marietta, Georgia and active in the NPI registry since July 2019. She has opted out of Medicare through January 31, 2028.

NPPES Registry Identity

NPI1538712302
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTERRIS LEIGH HAGAN
Location Address1640 POWERS FERRY RD, BLDG 9, SUITE 330Marietta, GA 30067
Mailing Address1640 Powers Ferry Rd, Bldg 9, Suite 330Marietta, GA 30067 · (404) 482-2334
Sole ProprietorNo
Enumeration DateJuly 22, 2019
Last NPPES UpdateNovember 3, 20222 updates tracked since enumeration
NPPES CertifiedNovember 3, 2022
NPI 1538712302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1640 POWERS FERRY RD, Marietta, GA 30067

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Terris Leigh Hagan has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 31, 2024 through January 31, 2028.

Opt-Out Effective DateJanuary 31, 2024
Opt-Out In Effect ThroughJanuary 31, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Specialist
1640 POWERS FERRY RD, BLDG 23
MARIETTA, GA 30067
Registered Nurse (Addiction (Substance Use Disorder))
1640 POWERS FERRY RD, BLDG 7, SUITE 300
MARIETTA, GA 30067
Counselor (Professional)
1640 POWERS FERRY RD
MARIETTA, GA 30067
Counselor (Professional)
1640 POWERS FERRY RD, BUILDING 9 / SUITE 300
MARIETTA, GA 30067
Counselor (Professional)
1640 POWERS FERRY RD, BUILDING 9, SUITE 300
MARIETTA, GA 30067
Registered Nurse
1640 POWERS FERRY RD, #7
MARIETTA, GA 30067
Counselor (Mental Health)
1640 POWERS FERRY RD, BLDG 17 STE 100
MARIETTA, GA 30067
Counselor (Mental Health)
1640 POWERS FERRY RD, BUILDING 20, SUITE 100
MARIETTA, GA 30067

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 Terris Hagan's NPI number?

The NPI number for Terris Hagan is 1538712302. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Terris Hagan located?

Terris Hagan practices at 1640 Powers Ferry Rd Bldg 9, Suite 330, Marietta, GA 30067. The listed phone number is (404) 482-2334.

What is Terris Hagan's specialty?

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

Is Terris Hagan enrolled in Medicare?

No. Terris Hagan has opted out of Medicare through January 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Terris Hagan was last updated on November 3, 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.