Individual provider Active NPI

Daniel Christopher Dailey, LMFT

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1003962598
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT113459 Issued in CA
Practice address
104 Walnut Ave Ste 208
Santa Cruz, CA 95060-3929
Phone
(831) 423-9444
NPI assigned
Jan 26, 2007
Last updated
May 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT113459 CA Primary

Addresses

Primary practice location

104 Walnut Ave Ste 208
Santa Cruz, CA 95060-3929

Mailing address

104 Walnut Ave Ste 208
Santa Cruz, CA 95060-3929

Other practice location 1

2901 Park Ave Ste A3
Soquel, CA 95073-2831
Phone (831) 423-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128004709 CA Practitioner - Marriage and Family Therapist 6709315260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Service Agency of the Central CoastGroup PAC ID 1052213527, 9 clinicians

Practice addresses (Care Compare)

104 Walnut Ave
Suite 208
Santa Cruz, CA 95060-3929
Phone (831) 423-9444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT113459CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency of the Central Coast CurrentSince Feb 1, 2025 Accepting new patients

Locations

104 Walnut Ave
Ste 208
Santa Cruz, CA 95060
Phone (831) 423-1532

104 Walnut Ave
Ste 212
Santa Cruz, CA 95060
Phone (408) 423-9444

2901 Park Ave
Ste A3
Soquel, CA 95073
Phone (831) 346-6767

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1003962598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WALNUT AVE STE 208",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WALNUT AVE STE 208",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603929",
            "telephone_number": "831-423-9444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Park Ave Ste A3",
            "address_purpose": "LOCATION",
            "city": "Soquel",
            "state": "CA",
            "postal_code": "950732831",
            "country_code": "US",
            "telephone_number": "831-423-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAILEY",
        "first_name": "DANIEL",
        "middle_name": "CHRISTOPHER",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT113459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.