Active NPI
Danielle Ardis Pagan, M.A.
- Professional Counselor
- Portage, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401015553
- Practice address
- 1125 E Milham Ave Ste B
Portage, MI 49002-3096 - Phone
- (269) 312-1446
- Fax
- (269) 225-6949
- NPI assigned
- Aug 12, 2015
- Last updated
- Feb 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401015553 | MI | Primary |
| Counselor | 101Y00000X | 6401015553 | MI |
Addresses
Primary practice location
1125 E Milham Ave Ste B
Portage, MI 49002-3096
Mailing address
PO Box 2174
Kalamazoo, MI 49003-2174
Phone (269) 312-1446
Other practice location 1
11656 Boardman Dr
Onsted, MI 49265-9762
Phone (517) 215-4079
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401015553 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serene Solutions | Professional | Current | Accepting new patients |
| Danielle Pagan LLC | Professional | Current | Accepting new patients |
Locations
4341 S Westnedge Ave
Ste 1106
Kalamazoo, MI 49008
Phone (269) 312-1446
1125 E Milham Ave
Ste B
Portage, MI 49002
Phone (269) 312-1446
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Portage, MI
- NPI 1326545260
-
- Professional Counselor
- Onsted, MI
- NPI 1477314342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707523200000",
"number": "1992171029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2174",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490032174",
"telephone_number": "269-312-1446",
"fax_number": "269-225-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 E MILHAM AVE STE B",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490023096",
"telephone_number": "269-312-1446",
"fax_number": "269-225-6949"
}
],
"practiceLocations": [
{
"address_1": "11656 Boardman Dr",
"address_purpose": "LOCATION",
"city": "Onsted",
"state": "MI",
"postal_code": "492659762",
"country_code": "US",
"telephone_number": "517-215-4079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAGAN",
"first_name": "DANIELLE",
"middle_name": "ARDIS",
"name_prefix": "Miss",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-12",
"last_updated": "2024-02-10",
"certification_date": "2024-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401015553",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401015553",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.