Daniel Dirk

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DANIEL DIRK

Practice address

777 NE 7TH St Ste 107
Grants Pass, OR 97526-1632

Phone

(541) 450-0493

NPI assigned

Sep 17, 2018

Last updated

Sep 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Dirk, LMFT

Title

Sole Proptertor

Phone

(541) 450-0493

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1063996072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SW L ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262928",
            "telephone_number": "541-450-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NE 7TH ST STE 107",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261632",
            "telephone_number": "541-450-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL DIRK",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "DIRK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SOLE PROPTERTOR",
        "authorized_official_telephone_number": "541-450-0493",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Nicole Daggett, DOULA, CBED
• Michelle Dague, LCSW, QMHP
• Dennis Dale, RN
• Shawnee Elsa Dale, BS
• Quchyal Lei Dance, LMT
• Daniel L Moline, MD, PC
• James Brant Darby, DDS
• Darren S Huddleston DMD PC
• Caroline Lazaga Dasalla, RN
• Davera Corporation (Redwood Family Practice)

• Mental Health Counselor in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.