Active NPI
Jason Dean Dagg, BA, CAC III
- Addiction (Substance Use Disorder) Counselor
- Colorado Springs, CO
National Provider Identifier
1134441520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- ACC.0020810
- Practice address
- 1826 E Platte Ave Ste 223
Colorado Springs, CO 80909-5738 - Phone
- (719) 510-2979
- NPI assigned
- Feb 25, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACC.0020810 | CO | Primary |
Addresses
Primary practice location
1826 E Platte Ave Ste 223
Colorado Springs, CO 80909-5738
Mailing address
1826 E Platte Ave Ste 223
Colorado Springs, CO 80909-5738
Phone (719) 510-2979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ACC.0020810 | Other | CO | ADDICTION COUNSELOR CERTIFICATION COLORADO DEPARTMENT OF REGULATORY AGENCIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACC.0020810 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1134441520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1826 E PLATTE AVE STE 223",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095738",
"telephone_number": "719-510-2979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1826 E PLATTE AVE STE 223",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095738",
"telephone_number": "719-510-2979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGG",
"first_name": "JASON",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"credential": "BA, CAC III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-25",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACC.0020810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADDICTION COUNSELOR CERTIFICATION COLORADO DEPARTMENT OF REGULATORY AGENCIES",
"identifier": "ACC.0020810",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.