Individual provider Active NPI

Daniele Nolan

  • Mental Health Counselor
  • Tupelo, MS
National Provider Identifier
1144837675
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2901 Issued in MS
Practice address
211 N Madison St Ste 10
Tupelo, MS 38804-3807
Phone
(662) 610-5501
NPI assigned
Sep 29, 2020
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2901 MS
Mental Health Counselor 101YM0800X 2901 MS Primary

Addresses

Primary practice location

211 N Madison St Ste 10
Tupelo, MS 38804-3807

Mailing address

340 Robins St
Tupelo, MS 38804-3712
Phone (662) 610-5501

Other identifiers 1

IdentifierTypeStateIssuer
200003312MedicaidMS

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

LicenseStateTypeSpecialty
2901MSMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nolan Counseling, LLC Counselor CurrentSince Apr 1, 2023 Accepting new patients

Locations

1425 E Main St
Tupelo, MS 38804

211 N Madison St
Ste 10
Tupelo, MS 38804
Phone (662) 610-5501

211 N Madison St
Ste 8
Tupelo, MS 38804

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1144837675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ROBINS ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043712",
            "telephone_number": "662-610-5501",
            "fax_number": "662-391-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N MADISON ST STE 10",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043807",
            "telephone_number": "662-610-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "DANIELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "2901",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "2901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200003312",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.