Active NPI
Dan J Archer, M.S.
- Professional Counselor
- Edmond, OK
National Provider Identifier
1003039017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2176
- Practice address
- 2801 E Memorial Rd Ste 102
Edmond, OK 73013-6470 - Phone
- (405) 760-0242
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- 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 | 2176 | OK | Primary |
| Marriage & Family Therapist | 106H00000X | 759 | OK |
Addresses
Primary practice location
2801 E Memorial Rd Ste 102
Edmond, OK 73013-6470
Mailing address
2801 E Memorial Rd Ste 102
Edmond, OK 73013-6470
Phone (405) 760-0242
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2176 | OK | MD | Professional Counselor |
| 759 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1003039017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 E MEMORIAL RD STE 102",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136470",
"telephone_number": "405-760-0242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 E MEMORIAL RD STE 102",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136470",
"telephone_number": "405-760-0242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHER",
"first_name": "DAN",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "2176",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "759",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.