Active NPI
Daniel Sprague
- Mental Health Counselor
- Murrieta, CA
National Provider Identifier
1124732573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- AMFT127324
- Practice address
- 28078 Baxter Rd Ste 230
Murrieta, CA 92563-1403 - Phone
- (951) 290-6530
- Fax
- (951) 290-6592
- NPI assigned
- Jan 10, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AMFT127324 | CA | Primary |
Addresses
Primary practice location
28078 Baxter Rd Ste 230
Murrieta, CA 92563-1403
Mailing address
28078 Baxter Rd Ste 230
Murrieta, CA 92563-1403
Phone (951) 290-6530
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
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT127324 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1124732573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28078 BAXTER RD STE 230",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925631403",
"telephone_number": "951-290-6530",
"fax_number": "951-290-6592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28078 BAXTER RD STE 230",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925631403",
"telephone_number": "951-290-6530",
"fax_number": "951-290-6592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRAGUE",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-10",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "AMFT127324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrieta, CA
- Jennier Spencer, M.S., CCC-SLP
- Spencer's Crossing Senior Assisted Living LLC
- Mark Anthony Spicer, PH.D., M.D.
- Gregory B. Spivey
- Lisa Marie Spivey
- Lois Ann Sprague
- Megan M. Sprague, M.S., B.C.B.A.
- Sr Nakka MD (Advanced Endoscopy Center-Gastroenterology)
- St Luke Cardiovascular Medical Group
- Emily G Stadick, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.