Active NPI
Dawn M Cagney, MS, CSAC, LPC
- Professional Counselor
- Waukesha, WI
National Provider Identifier
1386701720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3732-125
- Practice address
- 1501 Airport Rd
Waukesha, WI 53188-2461 - Phone
- (262) 896-8044
- Fax
- (262) 970-4791
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11170-132 | WI | |
| Professional Counselor | 101YP2500X | 3732-125 | WI | Primary |
Addresses
Primary practice location
1501 Airport Rd
Waukesha, WI 53188-2461
Mailing address
500 Riverview Ave
Waukesha, WI 53188-3632
Phone (262) 896-8044
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11170-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 3732-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1386701720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 RIVERVIEW AVE",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531883632",
"telephone_number": "262-896-8044",
"fax_number": "262-970-4791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 AIRPORT RD",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531882461",
"telephone_number": "262-896-8044",
"fax_number": "262-970-4791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAGNEY",
"first_name": "DAWN",
"middle_name": "M",
"credential": "MS, CSAC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "11170-132",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3732-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.