Michelle A Dangol
Individual provider Active NPI Professional Counselor · Omaha, NE
NPI 1639775307 · NPPES record last updated Dec 8, 2020
Key facts
- NPI
- 1639775307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 12420 (NE)
- Practice address
- 5614 Fontenelle Blvd
Omaha, NE 68111-1540 - Phone
- (952) 270-3246
- NPI assigned
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12420 | NE | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradigm Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12420 | NE | Yes |
Addresses
Primary practice location
5614 Fontenelle Blvd
Omaha, NE 68111-1540
Mailing address
809 S 174TH St
Omaha, NE 68118-3540
Phone (402) 991-8093
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdangol@paradigmdirection.com | Direct |
Other providers in Omaha, NE
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- Duyen Dang
- Kevin N Dang
- Ca'Mariana Dangerfield
- Daniel Chartrand DMD Ms LLC
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- Celeste O Daniel
- Lay Paw Daniel
- Sheree Daniel
All providers in Omaha, NE · Professional Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.