Daniel K Gann, DMIN, MDIV, MACMHC

Individual provider Active NPI Professional Counselor · Chickamauga, GA

NPI 1053024497 · NPPES record last updated Jun 16, 2026

Key facts

NPI
1053024497
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC015695 (GA)
Practice address
54 Sonshine LN
Chickamauga, GA 30707-3679
Phone
(256) 746-3626
NPI assigned
Dec 30, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260318000624 GA Practitioner - Mental Health Counselor 9638653710 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
C3949AALMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Engage Hope Current
since May 21, 2023
Accepting new patients
Therapyvine Current Accepting new patients
Grow Healthcare Group PA Professional Current
since Feb 6, 2026
Accepting new patients

Locations

15240 Highway 231 431 N
Hazel Green, AL 35750
Phone (256) 469-0606

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC015695 GA Yes
Professional Counselor 101YP2500X LPC04854 AL

Addresses

Primary practice location

54 Sonshine LN
Chickamauga, GA 30707-3679

Mailing address

54 Sonshine LN
Chickamauga, GA 30707-3679
Phone (256) 746-3626

Other practice location 1

15240 Hwy 231 431 N
Hazel Green, AL 35750
Phone (256) 469-0606

Other providers in Chickamauga, GA

All providers in Chickamauga, GA · Professional Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.