Individual provider Active NPI

Ashley R. Dagner, MS, LCPC

  • Mental Health Counselor
  • Bloomington, IL
National Provider Identifier
1871015958
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.014734 Issued in IL
Practice address
805 S Lee St
Bloomington, IL 61701-6458
Phone
(815) 242-7687
Fax
(217) 280-8325
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.014734 IL Primary

Addresses

Primary practice location

805 S Lee St
Bloomington, IL 61701-6458

Mailing address

805 S Lee St
Bloomington, IL 61701-6458
Phone (815) 242-7687

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 Science

State licenses

LicenseStateTypeSpecialty
180.014734ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley R. Dagner, LCPC, PLLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

706 Oglesby Ave
Ste 112
Normal, IL 61761
Phone (309) 585-0241

Organizations & group practices 1

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1871015958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S LEE ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617016458",
            "telephone_number": "815-242-7687",
            "fax_number": "217-280-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S LEE ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617016458",
            "telephone_number": "815-242-7687",
            "fax_number": "217-280-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGNER",
        "first_name": "ASHLEY",
        "middle_name": "R.",
        "credential": "MS, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.014734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.