Individual provider Active NPI

Daniel A. Tousley, MAED, PCC-S

  • Mental Health Counselor
  • Akron, OH
National Provider Identifier
1144312919
Registry record updated Mar 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0500370.SUPV Issued in OH
Practice address
900 Mull Ave
Akron, OH 44313-7502
Phone
(330) 867-5603
Fax
(330) 873-3439
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2013

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 C0500370 OH
Mental Health Counselor 101YM0800X E0500370.SUPV OH Primary

Addresses

Primary practice location

900 Mull Ave
Akron, OH 44313-7502

Mailing address

900 Mull Ave
Akron, OH 44313-7502
Phone (330) 334-5162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240201002210 OH Practitioner - Mental Health Counselor 1254784622 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0500370OHMDMental Health Counselor
E0500370.SUPVOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Revolutionary Relationships LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

3200 W Market St
Ste 101
Fairlawn, OH 44333
Phone (330) 459-6743

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363478400000",
    "number": "1144312919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MULL AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137502",
            "telephone_number": "330-334-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MULL AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137502",
            "telephone_number": "330-867-5603",
            "fax_number": "330-873-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUSLEY",
        "first_name": "DANIEL",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "MAED, PCC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2013-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C0500370",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0500370.SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.