Heather Jane Dannison, PHD, LP, LPC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301016125 Issued in MI

Practice address

4029 W Main St
Kalamazoo, MI 49006-2763

Phone

(269) 692-5321

Fax

(269) 312-7328

NPI assigned

May 22, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Heather Jane Wagner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Pathways Psychological Associates PLLC

  • Counselor
  • Plainwell, MI
  • NPI 1770640377
  NPD (past)

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1679985873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S ROSE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075273",
            "telephone_number": "517-256-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 W MAIN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490062763",
            "telephone_number": "269-692-5321",
            "fax_number": "269-312-7328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 S Rose St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490075273",
            "country_code": "US",
            "telephone_number": "269-692-5321",
            "fax_number": "269-312-7328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 E Chart St",
            "address_purpose": "LOCATION",
            "city": "Plainwell",
            "state": "MI",
            "postal_code": "490801768",
            "country_code": "US",
            "telephone_number": "269-685-6363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANNISON",
        "first_name": "HEATHER",
        "middle_name": "JANE",
        "credential": "PHD, LP, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014264",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301016125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1679985873",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "WAGNER",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Lee Daniels, PA-C
• Julie Theresa Daniels, OT
• Neha Daniels
• Rachel Marie Wasserman Daniels, PHD
• Megan Wells Danielson, CNM
• Darice Darby, TLLP
• Indiah Darden
• Taylor Darhower
• Druanna Darling
• Kathryn Ann Darling, PA-C

• Counseling Psychologist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.