DENAE HAAGENSON M.ED, LPCC, NCC, LP
NPI 1063948263
Counselor - Professional in Grand Forks, ND

Q: What is Denae Haagenson's NPI number?

The NPI number for Denae Haagenson is 1063948263. It was assigned to this individual provider in the NPPES registry on May 8, 2017.

Q: What is Denae Haagenson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Denae Haagenson was last updated on March 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 08, 2017PECOS Enrolled

412 DEMERS AVE, GRAND FORKS, ND 58201(701) 271-1632(701) 235-7359 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2020, Sep 24, 2019, Sep 20, 2019 and 2 more (5 updates tracked since 2017).

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About Denae Haagenson M.ed, Lpcc, Ncc, Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENAE HAAGENSON M.ED, LPCC, NCC, LP (NPI 1063948263) is an individual professional provider in Grand Forks, North Dakota, licensed in North Dakota (1005-5-15-19) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fargo, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1063948263

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDENAE HAAGENSONCredential: M.ED, LPCC, NCC, LP

Location Address412 DEMERS AVEGrand Forks, ND 58201

Mailing Address3911 20th Ave SFargo, ND 58103-4705 · (701) 271-1613 · Fax (701) 235-7359

Phone(701) 271-1632

Fax(701) 235-7359

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 8, 2017

Last NPPES UpdateMarch 18, 20205 updates tracked since enumeration

NPPES CertifiedMarch 18, 2020

✔ NPI 1063948263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ND · 1005-5-15-19

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 1005-5-15-19 (ND), CC01782 (MN)

412 DEMERS AVE, Grand Forks, ND 58201

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Secondary Practice Location 1

Location 13911 20th Ave SFargo, ND 58103-4705 · Phone (701) 271-1613 · Fax (701) 235-7359

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denae Haagenson M.ed, Lpcc, Ncc, Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072951797

PECOS Enrollment IDI20260112003120

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY MYERS

Case Manager/Care Coordinator