Individual provider Active NPI

De Ana Dawn Nelson, M.A., LPC, SAC

  • Mental Health Counselor
  • Iron River, WI
National Provider Identifier
1811234651
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5667-127 Issued in WI
Practice address
74840 County Highway a
Iron River, WI 54847-7535
Phone
(715) 813-0440
Fax
(833) 536-1749
NPI assigned
Jan 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15935-131 WI
Mental Health Counselor 101YM0800X 5667-127 WI Primary

Addresses

Primary practice location

74840 County Highway a
Iron River, WI 54847-7535

Mailing address

74840 County Highway a
Iron River, WI 54847-7535
Phone (715) 813-0440

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
15935-131WIMDAddiction (Substance Use Disorder) Counselor
5667-127WIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1811234651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74840 COUNTY HIGHWAY A",
            "city": "IRON RIVER",
            "state": "WI",
            "postal_code": "548477535",
            "telephone_number": "715-813-0440",
            "fax_number": "833-536-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74840 COUNTY HIGHWAY A",
            "city": "IRON RIVER",
            "state": "WI",
            "postal_code": "548477535",
            "telephone_number": "715-813-0440",
            "fax_number": "833-536-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DE ANA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC, SAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15935-131",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5667-127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron River, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.