Individual provider Active NPI

Daniela Melanie Von Entress-Larmay, MS, ALC

  • Mental Health Counselor
  • Enterprise, AL
National Provider Identifier
1093424418
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ALC04318 Issued in AL
Practice address
117 S Main St
Enterprise, AL 36330-2542
Phone
(334) 417-4117
NPI assigned
Nov 15, 2022
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ALC04318 AL Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

117 S Main St
Enterprise, AL 36330-2542

Mailing address

303 Glencoe Way
Dothan, AL 36305-7201
Phone (334) 470-8589

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.theranest.com Direct Enterprise Mental Health, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20260323002847 AL Practitioner - Mental Health Counselor 7810471398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

187 Belmont Dr
Dothan, AL 36305-6500

4040 Fortner St
Dothan, AL 36305-3134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ALC04318ALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Daniela Von Entress Larmay LLC Single Specialty Current Accepting new patients

Locations

187 Belmont Dr
Dothan, AL 36305
Phone (334) 671-1280

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1093424418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GLENCOE WAY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363057201",
            "telephone_number": "334-470-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S MAIN ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302542",
            "telephone_number": "334-417-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON ENTRESS-LARMAY",
        "first_name": "DANIELA",
        "middle_name": "MELANIE",
        "credential": "MS, ALC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "ALC04318",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.theranest.com",
            "affiliation": "Y",
            "endpointDescription": "HIPPA compliant EMR",
            "affiliationName": "Enterprise Mental Health, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "117 S Main St",
            "city": "Enterprise",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363302542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.