Judson McDaniel

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

10515 W Markham St Ste D5
Little Rock, AR 72205-2290

Phone

(501) 231-8472

NPI assigned

Mar 14, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Veritas Counseling LLC

  • Professional Counselor
  • Little Rock, AR
  • NPI 1710762695
  NPD Authorized official
• Woodland International Research Group, Inc.

  • Psychiatric Hospital Unit
  • Little Rock, AR
  • NPI 1093080855
  NPD (past)
• Woodland International Research Group, Inc.

  • Clinical Medical Laboratory
  • Little Rock, AR
  • NPI 1528335882
  NPD (past)

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1073888756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 W MARKHAM ST STE D5",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052290",
            "telephone_number": "501-231-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 W MARKHAM ST STE D5",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052290",
            "telephone_number": "501-231-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "JUDSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-14",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin McCusker, DO
• Belinda McCutcheon, PHARM D
• Rebecca McCutcheon, MHPP
• Casey McDaniel
• Eboni McDaniel, MHPP
• Kimberly Dianna McDaniel, MHPP
• Marshall McDaniel, DPT
• Milan McDaniel, RECOVERY ADVOCATE
• Takelia McDaniel
• Tara Beth McDaniel, LAT, ATC

• Mental Health Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.