MARY BERYL GAGNON B.A.
NPI 1972707271
Counselor - Mental Health in Milwaukee, WI

Active since June 12, 2007
4929 W FOND DU LAC AVE, MILWAUKEE, WI 53216(414) 871-6122 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Beryl Gagnon B.a. NPPES

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

MARY BERYL GAGNON B.A. (NPI 1972707271) is an individual mental health provider in Milwaukee, Wisconsin and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1972707271
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY BERYL GAGNONCredential: B.A.
Location Address4929 W FOND DU LAC AVEMilwaukee, WI 53216-2324
Mailing Address4223 W Martin Dr, Apt. 302Milwaukee, WI 53208-2762 · (414) 933-7588
Sole ProprietorYes
Enumeration DateJune 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1972707271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4929 W FOND DU LAC AVE, Milwaukee, WI 53216

Other Providers at the Same Location NPPES 20

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

Community/Behavioral Health
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Registered Nurse (Psychiatric/Mental Health, Adult)
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Case Manager/Care Coordinator
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Case Manager/Care Coordinator
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Case Manager/Care Coordinator
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Case Manager/Care Coordinator
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Peer Specialist
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Case Manager/Care Coordinator
4929 W FOND DU LAC AVE
MILWAUKEE, WI 53216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Gagnon's NPI number?

The NPI number for Mary Gagnon is 1972707271. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Mary Gagnon located?

Mary Gagnon practices at 4929 W Fond Du Lac Ave, Milwaukee, WI 53216. The listed phone number is (414) 871-6122.

What is Mary Gagnon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mary Gagnon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.