DEREK DAANEN LPC, LPCC
NPI 1124890470
Counselor - Professional in Greenfield, WI
NPI Status: Active since October 30, 2023
Contact Information
4131 W LOOMIS RD STE 120
GREENFIELD, WI
ZIP 53221
Phone: (414) 424-2445
- Individual
- Male
- Years of Experience 10
- Counselor
- Professional
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About DEREK DAANEN
This page provides the complete NPI Profile along with additional information for Derek Daanen, a provider established in Greenfield, Wisconsin with a medical specialization in Counselor, focusing in professional and more than 10 years of experience. The healthcare provider is registered in the NPI registry with number 1124890470 assigned on October 2023. The practitioner's primary taxonomy code is 101YP2500X with license number 7454-125 (WI). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1124890470
- Provider Name
- DEREK DAANEN LPC, LPCC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4131 W LOOMIS RD STE 120 GREENFIELD, WI 53221
- Location Phone
- (414) 424-2445
- Mailing Address
- 4131 W LOOMIS RD STE 120 GREENFIELD, WI 53221
- Medical School Name
- OTHER
- Graduation Year
- 2016
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-30-2023
- Last Update Date
- 03-20-2025
- Code Navigator
Location Map
Secondary Locations
- 1811 Weir Dr Ste 270
Woodbury, MN 55125
(651) 714-9646
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 7454-125
- License State
- WI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Dean Bronze $0 Copay PCP Visits - HMO
- Dean Bronze Share - HMO
- Dean Catastrophic - HMO
- Dean Expanded Bronze Standard - HMO
- Dean Focus Bronze $0 Copay PCP Visits - EPO
- Dean Focus Bronze Share - EPO
- Dean Focus Catastrophic - EPO
- Dean Focus Expanded Bronze Standard - EPO
- Dean Focus Gold HSA - EPO
- Dean Focus Gold Share - EPO
- Robin Oak $1,000 Gold - PPO
- Robin Oak $1,500 Standard Gold - PPO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
- Essentia Choice Care with Medica Bronze HSA - EPO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL - HMO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL - HMO
- QUARTZ ONE ACHIEVE BRONZE (VISION) $7250 HSA - IL - HMO
- QUARTZ ONE ACHIEVE BRONZE (VISION) $9100 DED FLAT RX COPAYS - IL - HMO
- QUARTZ ONE ACHIEVE BRONZE (VISION) STANDARD EASY PRICING - IL - HMO
- QUARTZ ONE ACHIEVE CATASTROPHIC (VISION) - IL - HMO
- QUARTZ ONE ACHIEVE GOLD (DENTAL & VISION) $2500 DED - IL - HMO
- QUARTZ ONE ACHIEVE GOLD (VISION) $2500 DED - IL - HMO
- QUARTZ ONE ACHIEVE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - IL - HMO
- QUARTZ ONE ACHIEVE GOLD MAINTENANCE (VISION) $500 DED - IL - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,100 HDHP - HMO
- Premier $5,000 - 40% - HMO
- Premier $6,200 HDHP - HMO
- Premier $7,500 - HMO
- Premier $9,200 - HMO
- Premier Protection - HMO
- Select $1,500 - 25% - EPO
- Select $3,500 - 30% - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value HSA (No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Derek Daanen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Derek Daanen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1254781776
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20231226001671
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 8 | 9 | 0 | 4 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 16 | 9 | 0 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 1 + 6 + 9 + 0 + 4 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1124890470 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063101723 | KATRINA ELIZABETH GRUBER LPC-IT Individual | Counselor (Professional) | 4131 W LOOMIS RD STE 120 GREENFIELD, WI 53221 (414) 424-2445 |
| 1255891602 | MR. VLATKO SAGUD MS, LPC-IT Individual | Counselor (Mental Health) | 4131 W LOOMIS RD STE 120 GREENFIELD, WI 53221 (414) 424-2445 |
| 1609466523 | MS. JENNIFER JEANETTE RODEWALD Individual | Counselor (Mental Health) | 4131 W LOOMIS RD STE 120 GREENFIELD, WI 53221 (414) 424-2445 |
| 1699293563 | GEOFFREY K MALONE LCSW Individual | Social Worker (Clinical) | 4131 W LOOMIS RD STE 120 GREENFIELD, WI 53221 (414) 424-2445 |
| 1548619521 | KRISTIN RENEE MURPHY PMHNP-BC, LCSW Individual | Nurse Practitioner (Psychiatric/Mental Health) | 4131 W LOOMIS RD STE 120 GREENFIELD, WI 53221 (414) 424-2245 |
| 1649976689 | EMILY ANN JONES LPC-IT Individual | Counselor (Professional) | 4131 W LOOMIS RD STE 120 GREENFIELD, WI 53221 (414) 424-2445 |
| 1851062855 | KALANA L GRAHAM LCSW Individual | Social Worker (Clinical) | 4131 W LOOMIS RD STE 120 GREENFIELD, WI 53221 (414) 424-2445 |
| 1295345437 | KALENE N RUEMLER LCSW, LICSW Individual | Social Worker (Clinical) | 4131 W LOOMIS RD STE 120 GREENFIELD, WI 53221 (414) 424-2445 |
| 1770311102 | MRS. AMANDA LEE MCGUIRE LPC Individual | Counselor (Professional) | 4131 W LOOMIS RD STE 120 GREENFIELD, WI 53221 (414) 424-2445 |
| 1992442503 | ELIZABETH A MENON LPC Individual | Counselor (Professional) | 4131 W LOOMIS RD STE 120 GREENFIELD, WI 53221 (414) 424-2445 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124890470, enumerated in the NPI registry as an "individual" on October 30, 2023
The provider is located at 4131 W Loomis Rd Ste 120 Greenfield, Wi 53221 and the phone number is (414) 424-2445
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider has more than 10 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Dean Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on October 30, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.