Individual provider Active NPI

Dawn Marie Gaden, M.A., L.P.C., N.C.C.

  • Professional Counselor
  • Interlochen, MI
National Provider Identifier
1861577926
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401008212 Issued in MI
Practice address
20730 Betsie Highland Dr
Interlochen, MI 49643-9318
Phone
(810) 623-7375
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401008212 MI
Professional Counselor 101YP2500X 6401008212 MI Primary

Addresses

Primary practice location

20730 Betsie Highland Dr
Interlochen, MI 49643-9318

Mailing address

20730 Betsie Highland Dr
Interlochen, MI 49643-9318
Phone (810) 623-7375

Other practice location 1

31815 Southfield Rd Ste 27
Beverly Hills, MI 48025-5471
Phone (248) 480-0115

Other identifiers 1

IdentifierTypeStateIssuer
1861577926MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250729002458 MI Practitioner - Mental Health Counselor 5698282135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

735 S Garfield Ave
200 Traverse City
Traverse City, MI 49686-3471
Phone (800) 693-1916

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6401008212MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Jul 11, 2025 Accepting new patients
Mas Counseling Services, PLLC Counselor Past Accepting new patients
Medical Village Optical Shoppe Inc Past Accepting new patients
Mind & Body Counseling & Coaching PLLC Professional PastSince Jul 24, 2022 Accepting new patients

Locations

735 S Garfield Ave
Ste 200
Traverse City, MI 49686
Phone (231) 409-3900

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

Organizations & group practices 4

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1861577926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20730 BETSIE HIGHLAND DR",
            "city": "INTERLOCHEN",
            "state": "MI",
            "postal_code": "496439318",
            "telephone_number": "810-623-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20730 BETSIE HIGHLAND DR",
            "city": "INTERLOCHEN",
            "state": "MI",
            "postal_code": "496439318",
            "telephone_number": "810-623-7375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31815 Southfield Rd Ste 27",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "MI",
            "postal_code": "480255471",
            "country_code": "US",
            "telephone_number": "248-480-0115",
            "fax_number": "248-282-7114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADEN",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "M.A., L.P.C., N.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401008212",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861577926",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Interlochen, MI

Sources for this page

Verify at the official NPI Registry.