Active NPI
Sherry Daniels, M.A., LPC, NCC
- Counselor
- Fenton, MI
National Provider Identifier
1144491465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401005660
- Practice address
- 2325 W Shiawasse Ave
# 104
Fenton, MI 48430-1792 - Phone
- (810) 629-2500
- Fax
- (810) 629-2517
- NPI assigned
- Mar 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401005660 | MI | Primary |
Addresses
Primary practice location
2325 W Shiawasse Ave
# 104
Fenton, MI 48430-1792
Mailing address
2325 W Shiawasse Ave
# 104
Fenton, MI 48430-1792
Phone (810) 629-2500
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401005660 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1144491465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 W SHIAWASSE AVE",
"address_2": "# 104",
"city": "FENTON",
"state": "MI",
"postal_code": "484301792",
"telephone_number": "810-629-2500",
"fax_number": "810-629-2517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 W SHIAWASSE AVE",
"address_2": "# 104",
"city": "FENTON",
"state": "MI",
"postal_code": "484301792",
"telephone_number": "810-629-2500",
"fax_number": "810-629-2517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "SHERRY",
"credential": "M.A., LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-14",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401005660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.