Individual provider Active NPI

Noelle Louise Danis

  • Counselor
  • Eureka, CA
National Provider Identifier
1093064099
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
77538 Issued in CA
Practice address
3960 Walnut Dr
Eureka, CA 95503-8938
Phone
(707) 268-8722
Fax
(707) 268-0218
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 77538 CA Primary

Addresses

Primary practice location

3960 Walnut Dr
Eureka, CA 95503-8938

Mailing address

3960 Walnut Dr
Eureka, CA 95503-8938
Phone (707) 268-8722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250210002887 CA Practitioner - Clinical Social Worker 9335679083 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
77538CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
United Indian Health Services, Inc. Past Accepting new patients
Covenant Counseling Center Past Accepting new patients
Remi Vista Inc. Past Accepting new patients

Organizations & group practices 4

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": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1093064099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 WALNUT DR",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955038938",
            "telephone_number": "707-268-8722",
            "fax_number": "707-268-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 WALNUT DR",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955038938",
            "telephone_number": "707-268-8722",
            "fax_number": "707-268-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIS",
        "first_name": "NOELLE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "77538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.