Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ted W Hagen II, DMINPHD

Individual provider Marriage & Family Therapist · NPI 1497717508

Dr. Ted W Hagen II, DMINPHD is a Marriage and Family Therapist in Kingsport, Tennessee. Qualified in 1987, 39 years ago. Practices as a sole proprietor. Licensed in Tennessee.

Years since qualifying
39
Licensed in
TN
In the registry since
2006
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Practice location Address checks out

1201 N Wilcox Dr Ste C
Kingsport, TN 37660-4986
Phone: (423) 765-6276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 0000069 (TN)

Record details

NPI number1497717508
Entity typeIndividual (Type 1)
GenderMale
Credentials DMINPHD
Sole proprietorYes
NPI enumeratedApril 4, 2006
Last updated in NPPESJuly 20, 2025
Certification dateJuly 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Kingsport