Individual provider Active NPI

Dawn Vagle, M.A., D.MIN.

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1457575060
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801064646 Issued in MI
Practice address
446 Pine Lake CT
Holland, MI 49424-6496
Phone
(517) 437-3777
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401003550 MI
Clinical Social Worker 1041C0700X 6801064646 MI Primary
Marriage & Family Therapist 106H00000X 4101005366 MI

Addresses

Primary practice location

446 Pine Lake CT
Holland, MI 49424-6496

Mailing address

446 Pine Lake CT
Holland, MI 49424-6496
Phone (517) 437-3777

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401003550MIMDProfessional Counselor
6801064646MIMDClinical Social Worker
4101005366MIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1457575060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 PINE LAKE CT",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494246496",
            "telephone_number": "517-437-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 PINE LAKE CT",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494246496",
            "telephone_number": "517-437-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGLE",
        "first_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "M.A., D.MIN.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401003550",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801064646",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101005366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.