Individual provider Active NPI

Daniel Mariney, LPC

  • Professional Counselor
  • Dacula, GA
National Provider Identifier
1003075367
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC010726 Issued in GA
Practice address
2078 Teron Trce Ste 150
Dacula, GA 30019-1604
Phone
(352) 284-4379
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
LPC010726GAMDProfessional Counselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC010726 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

2078 Teron Trce Ste 150
Dacula, GA 30019-1604

Mailing address

3063 Mill Grove Ter
Dacula, GA 30019-5016
Phone (352) 284-4379

Other practice location 1

3584 Atlanta Hwy
Flowery Branch, GA 30542-2921
Phone (678) 617-7072

Other practice location 2

4300 SW 13th St
Gainesville, FL 32608-4006
Phone (352) 374-5600 ext. 8172

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 20, 2024.

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1003075367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3063 MILL GROVE TER",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300195016",
            "telephone_number": "352-284-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2078 TERON TRCE STE 150",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191604",
            "telephone_number": "352-284-4379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3584 Atlanta Hwy",
            "address_purpose": "LOCATION",
            "city": "Flowery Branch",
            "state": "GA",
            "postal_code": "305422921",
            "country_code": "US",
            "telephone_number": "678-617-7072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 SW 13th St",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326084006",
            "country_code": "US",
            "telephone_number": "352-374-5600 x8172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINEY",
        "first_name": "DANIEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.