Kaitlyn Hagee

Individual provider Federally Qualified Health Center (FQHC) · NPI 1811650773

Kaitlyn Hagee is a Mental Health Counselor in O Fallon, Missouri. Qualified in 2019, 7 years ago. Practices with Nystrom Counseling Mo PC, a 16-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying: 7
Licensed in: MO
In the registry since: 2021
Specialties on file: 2

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Practice location Address checks out

801 S Woodlawn Ave Ste 15
O Fallon, MO 63366-7647
Phone: (636) 379-1779

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary)	Taxonomy 101YP2500X · Licence 2019047968 (MO)
Federally Qualified Health Center (FQHC)	Taxonomy 261QF0400X

Record details

NPI number	1811650773
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	October 18, 2021
Last updated in NPPES	March 13, 2024
Certification date	March 13, 2024
Mailing address	801 S Woodlawn Ave Ste 15, O Fallon, MO 63366-7647

Medicare enrollment

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

Medicare specialty	MENTAL HEALTH COUNSELOR
Medical school	OTHER
Graduated	2019 (7 years in practice)
Group practice	Nystrom Counseling Mo Pc — 16 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount