Denae Haagenson, M.ED, LPCC, NCC, LP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1005-5-15-19 Issued in ND

Practice address

412 Demers Ave
Grand Forks, ND 58201

Phone

(701) 271-1632

Fax

(701) 235-7359

NPI assigned

May 8, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, ND2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Solutions Counseling Services, Inc.

  • Professional Counselor
  • Breckenridge, MN
  • NPI 1578614038

  ND

  Medicare reassignment NPD
• Abound Counseling LLC

  • Mental Health Counselor
  • Fargo, ND
  • NPI 1699157073
  NPD
• Lutheran Social Services of ND

  • Community/Behavioral Health Agency
  • Fargo, ND
  • NPI 1225459027
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1063948263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 20TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034705",
            "telephone_number": "701-271-1613",
            "fax_number": "701-235-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-271-1632",
            "fax_number": "701-235-7359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3911 20th Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581034705",
            "country_code": "US",
            "telephone_number": "701-271-1613",
            "fax_number": "701-235-7359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAGENSON",
        "first_name": "DENAE",
        "credential": "M.ED, LPCC, NCC, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-08",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "1005-5-15-19",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC01782",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "1005-5-15-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krishna C. Gurram, MD
• Ashok Gurung
• Krishna Gurung
• Patricia Lee Guthmiller, RN, CWON
• Ellona Gutsman, CNA,QSP
• Annabelle Rose Haarstad
• Sarah Haarstad, PT
• Adetola Tolulola Haastrup, MD
• Howard Mark Hack, M.D.
• Susan G Hafner, NP

• Professional Counselor in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Professional Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.