Amy Katherine Dagenais, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401223118 Issued in MI

Practice address

2353 Badger Street
Marquette, MI 49855-2303

Phone

(906) 273-1121

Fax

(906) 225-6706

NPI assigned

Jan 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1821628686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 BADGER STREET",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552303",
            "telephone_number": "906-273-1121",
            "fax_number": "906-225-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 BADGER STREET",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552303",
            "telephone_number": "906-273-1121",
            "fax_number": "906-225-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGENAIS",
        "first_name": "AMY",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401223118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VS0137654",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://app.kareo.com/admin-ui/#/practice-settings/patient-communications?provider=292b879c-5c51-400",
            "affiliation": "N",
            "address_1": "1445 W Auburn Rd",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483094344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crowel
• Kimberly Sue Crowel, LLP
• Kala Culligan
• Aaron Cutlip
• Allison Jean Czarny, RN
• Rachael Daggett
• Steven J Danek, MD
• Daniel R. Dunbar P.C.
• Francis P Darr, M.D.
• Sarah June Dartt-Woehlert, BCBA-LBA

• Professional Counselor in Marquette, MI
• Providers in Marquette, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.