Individual provider Active NPI

Danielle Marie Hagedorn, MS, LPC, SAC, NCC

  • Professional Counselor
  • Eau Claire, WI
National Provider Identifier
1750928347
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8297-125 Issued in WI
Practice address
4330 Golf Ter Ste 207
Eau Claire, WI 54701-4688
Phone
(715) 514-0493
Fax
(877) 855-2504
NPI assigned
Dec 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 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 8297-125 WI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16520-131 WI
Mental Health Counselor 101YM0800X 8297-125 WI

Addresses

Primary practice location

4330 Golf Ter Ste 207
Eau Claire, WI 54701-4688

Mailing address

4330 Golf Ter Ste 207
Eau Claire, WI 54701-4688
Phone (715) 514-0493

Other identifiers 2

IdentifierTypeStateIssuer
100095629MedicaidWI
1750928347MedicaidWI

Other names 1

  • Danielle Marie Lacost Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225000075 WI Practitioner - Mental Health Counselor 5799205514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winding Rivers Counseling LLCGroup PAC ID 4880114602, 2 clinicians

Practice addresses (Care Compare)

4330 Golf Ter
Suite 207
Eau Claire, WI 54701-4688
Phone (715) 514-0493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16520-131WIMDAddiction (Substance Use Disorder) Counselor
8297-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Winding Rivers Counseling LLC Mental Health CurrentSince Jul 5, 2022 Accepting new patients
Northwest Counseling & Guidance Clinic PastSince Aug 1, 2021 Accepting new patients
Northwest Counseling & Guidance Clinic PastSince Aug 1, 2021 Accepting new patients

Locations

4330 Golf Ter
Ste 207
Eau Claire, WI 54701
Phone (715) 514-0493

1101 W Clairemont Ave
Ste 1E4
Eau Claire, WI 54701

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1750928347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 GOLF TER STE 207",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014688",
            "telephone_number": "715-514-0493",
            "fax_number": "877-855-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 GOLF TER STE 207",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014688",
            "telephone_number": "715-514-0493",
            "fax_number": "877-855-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEDORN",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "MS, LPC, SAC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8297-125",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16520-131",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "8297-125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100095629",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750928347",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "LACOST",
            "middle_name": "MARIE",
            "credential": "LPC - IT; SAC-IT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.