KEVIN DWAYNE BAGWELL LPC
NPI 1710010152
Counselor - Professional in Pasadena, CA

Q: What is Kevin Bagwell's NPI number?

The NPI number for Kevin Bagwell is 1710010152. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Q: What is Kevin Bagwell'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 Kevin Bagwell was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 14, 2007

75 W HOLLY ST UNIT 3010, PASADENA, CA 91103(231) 633-3400 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kevin Dwayne Bagwell Lpc NPPES

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

KEVIN DWAYNE BAGWELL LPC (NPI 1710010152) is an individual professional provider in Pasadena, California, licensed in California (17520) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1710010152

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameKEVIN DWAYNE BAGWELLCredential: LPC

Location Address75 W HOLLY ST UNIT 3010Pasadena, CA 91103-0309

Mailing Address75 W Holly St Unit 3010Pasadena, CA 91103-0309 · (231) 633-3400

Phone(231) 633-3400

Sole ProprietorNo

Enumeration DateMarch 14, 2007

Last NPPES UpdateAugust 29, 2025

NPPES CertifiedAugust 29, 2025

✔ NPI 1710010152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CA · 17520

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 17520 (CA), 6401009233 (MI)

75 W HOLLY ST UNIT 3010, Pasadena, CA 91103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health, UnitedHealthcare.Insurance ›

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 Kevin Bagwell's NPI number?

The NPI number for Kevin Bagwell is 1710010152. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Kevin Bagwell located?

Kevin Bagwell practices at 75 W Holly St Unit 3010, Pasadena, CA 91103. The listed phone number is (231) 633-3400.

What is Kevin Bagwell's specialty?

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

What insurance does Kevin Bagwell accept?

Health plans from Priority Health and UnitedHealthcare list Kevin Bagwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Bagwell was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.