Amy Helene Dagen, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904004768 Issued in VA

Practice address

7447 Central Business Park Dr
Norfolk, VA 23513-2867

Phone

(757) 756-5600

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• City of Norfolk

  • Psychiatry Physician
  • Norfolk, VA
  • NPI 1306800198
  Medicare reassignment NPD
• Colonial Behavioral Health

  • Health Maintenance Organization
  • Williamsburg, VA
  • NPI 1841556776
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1124198858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 CENTRAL BUSINESS PARK DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132867",
            "telephone_number": "577-565-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 CENTRAL BUSINESS PARK DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132867",
            "telephone_number": "757-756-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Tidewater Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235043300",
            "country_code": "US",
            "telephone_number": "757-533-9242",
            "fax_number": "757-533-9634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5357 Henneman Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235132401",
            "country_code": "US",
            "telephone_number": "833-510-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAGEN",
        "first_name": "AMY",
        "middle_name": "HELENE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904004768",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904004768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8937826",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8937834",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON",
            "identifier": "384747",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8937842",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Draughon D'Antonio, FNP
• Robert John D'Haem, M.D.
• Steve Mark D'Souza, MD
• Fauzia Amandi Dabre, DNP
• Marielle Samson Daclan, MD
• Shardhat Reddy Daggumati, MD
• Georg Jonathan Dahl, MD
• Mary J Dahling, NPC
• Leslie M Dahuya, DPT
• Lucille Ann Daigle, PT

• Mental Health Counselor in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.