Individual provider Active NPI

Daniel Richard Garcia, LPC

  • Mental Health Counselor
  • Crystal Lake, IL
National Provider Identifier
1083265912
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
170.017252 Issued in IL
Practice address
760 McArdle Dr Ste G
Crystal Lake, IL 60014-8149
Phone
(815) 526-0676
NPI assigned
Sep 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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 170.017252 IL Primary

Addresses

Primary practice location

760 McArdle Dr Ste G
Crystal Lake, IL 60014-8149

Mailing address

760 McArdle Dr Ste G
Crystal Lake, IL 60014-8149
Phone (815) 526-0676

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
170.017252ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Therapy Group CurrentSince Nov 17, 2024 Accepting new patients

Locations

760 McArdle Dr
Ste G
Crystal Lake, IL 60014
Phone (815) 526-0676

755 McArdle Dr
Ste E
Crystal Lake, IL 60014
Phone (815) 355-8589

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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1083265912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 MCARDLE DR STE G",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148149",
            "telephone_number": "815-526-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 MCARDLE DR STE G",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148149",
            "telephone_number": "815-526-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "DANIEL",
        "middle_name": "RICHARD",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "170.017252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.