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

Mr. Keith Hageman, LPC

Individual provider Professional Counselor · NPI 1629779012

Mr. Keith Hageman, LPC is a Mental Health Counselor in Casper, Wyoming. Qualified in 2022, 4 years ago. Practices with Community Health Center of Central Wyoming Inc, a 27-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
4
Licensed in
WY
In the registry since
2023
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5000 Blackmore Rd
Casper, WY 82609-3345
Phone: (307) 233-6000
Fax: (307) 233-6089
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-2336 (WY)

Record details

NPI number1629779012
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedMarch 13, 2023
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address5000 Blackmore Rd, Casper, WY 82609-3345

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Community Health Center Of Central Wyoming Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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