Jennifer Bridget McDaniel, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

72616 Issued in TX

Practice address

702 San Pedro Ave
San Antonio, TX 78212-4610

Phone

(210) 299-2400

Fax

(210) 270-0545

NPI assigned

Feb 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer B Grimes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11327/brand/1/csg/1/fhir/r4

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.

• Family Service Association of San Antonio, Inc.

  • Professional Counselor
  • San Antonio, TX
  • NPI 1528115011
  NPD (past)

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1073972022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124610",
            "telephone_number": "210-299-2400",
            "fax_number": "210-270-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124610",
            "telephone_number": "210-299-2400",
            "fax_number": "210-270-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "JENNIFER",
        "middle_name": "BRIDGET",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GRIMES",
            "middle_name": "B",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christina Ann McCune, M.D.
• Rebecca L McCune, MD
• Donald McCurnin, MD
• Deidra Elizabeth McCutchen, PA-C
• Vera L McDade, OWNER
• Joseph L McDaniel, MD
• Joy Natasha McDaniel, DMD
• Kelly McDaniel, LPC
• Kristi McDaniel
• Leilani Choe McDaniel, DDS

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.