JONATHON MICHAEL HAGEN RADT
NPI 1629738943
Counselor - Addiction (Substance Use Disorder) in Long Beach, CA

Q: What is Jonathon Hagen's NPI number?

The NPI number for Jonathon Hagen is 1629738943. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Q: What is Jonathon Hagen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jonathon Hagen was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 28, 2021

21 SICILIAN WALK, LONG BEACH, CA 90803(760) 579-9865 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Jonathon Michael Hagen Radt NPPES

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

JONATHON MICHAEL HAGEN RADT (NPI 1629738943) is an individual addiction (substance use disorder) provider in Long Beach, California, licensed in California (A060791221) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1629738943

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameJONATHON MICHAEL HAGENCredential: RADT

Location Address21 SICILIAN WALKLong Beach, CA 90803-4138

Mailing Address21 Sicilian WalkLong Beach, CA 90803-4138 · (760) 579-9865

Phone(760) 579-9865

Sole ProprietorNo

Enumeration DateDecember 28, 2021

Last NPPES UpdateDecember 30, 2021

NPPES CertifiedDecember 30, 2021

✔ NPI 1629738943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Licenses✔ Licensed in CA · A060791221✔ Licensed in CA · R1401480820

21 SICILIAN WALK, Long Beach, CA 90803

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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 Jonathon Hagen's NPI number?

The NPI number for Jonathon Hagen is 1629738943. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Where is Jonathon Hagen located?

Jonathon Hagen practices at 21 Sicilian Walk, Long Beach, CA 90803. The listed phone number is (760) 579-9865.

What is Jonathon Hagen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jonathon Hagen was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.