Individual provider Active NPI

Daniel Durrett, LPC-INTERN

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1063060192
Registry record updated Sep 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
82549 Issued in TX
Practice address
5115 McKinney Ave Ste D
Dallas, TX 75205-3334
Phone
(214) 530-2324
NPI assigned
Sep 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 82549 TX Primary

Addresses

Primary practice location

5115 McKinney Ave Ste D
Dallas, TX 75205-3334

Mailing address

1221 W Campbell Rd
Richardson, TX 75080-2967

Other practice location 1

1221 W Campbell Rd Ste 105
Richardson, TX 75080-2900
Phone (214) 530-2324

Other practice location 2

13720 Midway Rd Ste 106
Dallas, TX 75244-3416
Phone (214) 949-7774

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
82549TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hebert Counseling, PLLC PastSince Sep 8, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567382400000",
    "number": "1063060192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W CAMPBELL RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 MCKINNEY AVE STE D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752053334",
            "telephone_number": "214-530-2324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 W Campbell Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750802900",
            "country_code": "US",
            "telephone_number": "214-530-2324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13720 Midway Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752443416",
            "country_code": "US",
            "telephone_number": "214-949-7774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURRETT",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LPC-INTERN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-02",
        "last_updated": "2019-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2019; 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.