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

Myriah Lea Hagerman, MA

Individual provider Case Manager/Care Coordinator · NPI 1518097443

Myriah Lea Hagerman, MA is a Mental Health Counselor in Pueblo, Colorado. Qualified in 2009, 17 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
17
Licensed in
CO
In the registry since
2007
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

400 W 16th St
Pueblo, CO 81003-2745
Phone: (719) 584-4921
Fax: (719) 595-7994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1302 Chinook Ln, Pueblo, CO 81001-1851 — (719) 545-2746

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 6409 (CO)

Record details

NPI number1518097443
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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