Active NPI
Ann Elizabeth Daniel, M.S., LMFT
- Marriage & Family Therapist
- Lafayette, IN
National Provider Identifier
1053481184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35001653A
- Practice address
- 4916 Eastbrook Dr
Lafayette, IN 47905-8848 - Phone
- (654) 185-0547
- NPI assigned
- Nov 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 35001653A | IN | Primary |
Addresses
Primary practice location
4916 Eastbrook Dr
Lafayette, IN 47905-8848
Mailing address
4916 Eastbrook Dr
Lafayette, IN 47905-8848
Phone (765) 418-5054
Other names 1
- Miss Ann Elizabeth Dorich
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 4, 2024 through Jan 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35001653A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raj Clinics Professional Services Corporation | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Frankfort, IN
- NPI 1467517532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1053481184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4916 EASTBROOK DR",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479058848",
"telephone_number": "765-418-5054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4916 EASTBROOK DR",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479058848",
"telephone_number": "654-185-0547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "ANN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "M.S., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35001653A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "DORICH",
"middle_name": "ELIZABETH",
"prefix": "MISS",
"credential": "M.S.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.