Active NPI
Tracy McDaniel, LCDC
- Addiction (Substance Use Disorder) Counselor
- Kaufman, TX
National Provider Identifier
1033978713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 16883
- Practice address
- 201 W Mulberry St Ste 15
Kaufman, TX 75142-1940 - Phone
- (469) 253-4487
- Fax
- (207) 245-9532
- NPI assigned
- Mar 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16883 | TX | Primary |
Addresses
Primary practice location
201 W Mulberry St Ste 15
Kaufman, TX 75142-1940
Mailing address
201 W Mulberry St Ste 15
Kaufman, TX 75142-1940
Phone (469) 253-4487
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16883 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710460800000",
"number": "1033978713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W MULBERRY ST STE 15",
"city": "KAUFMAN",
"state": "TX",
"postal_code": "751421940",
"telephone_number": "469-253-4487",
"fax_number": "207-245-9532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W MULBERRY ST STE 15",
"city": "KAUFMAN",
"state": "TX",
"postal_code": "751421940",
"telephone_number": "469-253-4487",
"fax_number": "207-245-9532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "TRACY",
"credential": "LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-15",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "16883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaufman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.