Active NPI
Destini Haggen
- Addiction (Substance Use Disorder) Counselor
- Detroit, MI
National Provider Identifier
1841605607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 3901 Chrysler Dr Ste 1a
Detroit, MI 48201-2167 - Phone
- (313) 993-3964
- Fax
- (313) 933-3974
- NPI assigned
- Jun 30, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
3901 Chrysler Dr Ste 1a
Detroit, MI 48201-2167
Mailing address
29007 McDonald St
Westland, MI 48186-5112
Phone (248) 794-6604
Other practice location 1
1207 Knollwood Ave Apt 1140
Kalamazoo, MI 49006-6684
Phone (248) 497-7837
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1841605607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29007 MCDONALD ST",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481865112",
"telephone_number": "248-794-6604",
"fax_number": "313-933-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 CHRYSLER DR STE 1A",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012167",
"telephone_number": "313-993-3964",
"fax_number": "313-933-3974"
}
],
"practiceLocations": [
{
"address_1": "1207 Knollwood Ave Apt 1140",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490066684",
"country_code": "US",
"telephone_number": "248-497-7837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAGGEN",
"first_name": "DESTINI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.