Active NPI
Danielle J Paulson
- Professional Counselor
- Manitowoc, WI
National Provider Identifier
1689500084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1204-228
- Practice address
- 2104 Menasha Ave
Manitowoc, WI 54220-1745 - Phone
- (920) 645-7649
- NPI assigned
- Jun 23, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1204-228 | WI | Primary |
Addresses
Primary practice location
2104 Menasha Ave
Manitowoc, WI 54220-1745
Mailing address
2104 Menasha Ave
Manitowoc, WI 54220-1745
Phone (920) 645-7649
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1689500084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 MENASHA AVE",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542201745",
"telephone_number": "920-645-7649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 MENASHA AVE",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542201745",
"telephone_number": "920-645-7649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULSON",
"first_name": "DANIELLE",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-23",
"last_updated": "2026-06-23",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "1204-228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.