Active NPI
Daniel John Jurek, M.MIN., M.A
- Professional Counselor
- Lafayette, LA
National Provider Identifier
1073824272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2823
- Practice address
- 143 Ridgeway Dr
Suite 106
Lafayette, LA 70503-3414 - Phone
- (337) 993-1960
- Fax
- (337) 993-1961
- NPI assigned
- Jun 23, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2823 | LA | Primary |
| Marriage & Family Therapist | 106H00000X | MFT757 | LA |
Addresses
Primary practice location
143 Ridgeway Dr
Suite 106
Lafayette, LA 70503-3414
Mailing address
143 Ridgeway Dr
Suite 106
Lafayette, LA 70503-3414
Phone (337) 993-1960
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2823 | LA | MD | Professional Counselor |
| MFT757 | LA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277251200000",
"number": "1073824272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 RIDGEWAY DR",
"address_2": "SUITE 106",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033414",
"telephone_number": "337-993-1960",
"fax_number": "337-993-1961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 RIDGEWAY DR",
"address_2": "SUITE 106",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033414",
"telephone_number": "337-993-1960",
"fax_number": "337-993-1961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUREK",
"first_name": "DANIEL",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "M.MIN., M.A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-23",
"last_updated": "2010-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "2823",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "MFT757",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.