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Active NPI 1629779012 Individual Practitioner Male Practitioner

Keith Hageman , LPC

Counselor - Professional • Casper, WY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Keith Hageman, LPC is a certified Counselor - Professional practicing in Casper, WY. With approximately 4 years of clinical experience since completing medical education in 2022, Keith Hageman delivers high-quality medical care to the local community at 5000 BLACKMORE RD.

Keith Hageman is affiliated with Community Health Center Of Central Wyoming Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

5000 Blackmore Rd

Casper, WY 826093345

Telephone 3072336000
Fax 3072336089
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Casper, WY

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -8.0 yrs vs City Avg
City Avg: 12.0 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
101 Specialists

Practicing in Casper, WY (606 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hageman (4 Years) 4 Yrs
Casper Specialty Average (12.0 Years) 12.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-08-28
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WY LPC-2336

Definition to come...

Hospital & Practice Group Affiliations

Community Health Center Of Central Wyoming Inc

5000 Blackmore Rd, Casper, WY 826093345

Phone: 3072336000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Barbara Sovine , RN

Registered Nurse

NPI 1003016874

Registered Nurse

Travis Scoresby , PA-C

Physician Assistant

NPI 1003167594

Physician Assistant (Certified)

William Maurer , LCSW

Social Worker - Clinical

NPI 1003976267

Licensed Clinical Social Worker

Mary Lembke , RN

Registered Nurse - Women's Health Care, Ambulatory

NPI 1033236054

Registered Nurse

Sara Malsom , PA-C

Physician Assistant

NPI 1033528666

Physician Assistant (Certified)

Abigail Arross

Nurse Practitioner - Family

NPI 1033750716

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated August 28, 2024

Recorded as KEITH HAGEMAN, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2024

Counselor (License #LPC-2336 in WY)

NPI Profile Active March 13, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2023

Registered at 5000 BLACKMORE RD, CASPER, WY 826093345 (Tel: 3072625118)

📍
Updated Business Mailing Address March 13, 2023

Registered at 5000 BLACKMORE RD, CASPER, WY 826093345

👤
Provider Name / Credentials Updated March 13, 2023

Recorded as KEITH HAGEMAN, MS, PPC, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2023

Counselor (License #PPC-1356 in WY)

🟢
Initial NPI Registration & Enumeration March 13, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629779012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2023
Last Update: August 28, 2024
Sole Proprietor: No

Mailing Address

5000 Blackmore Rd

Casper, WY 826093345

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.