Ellis Lee McDaniel, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00002904 Issued in WA

Practice address

861 Poplar PL S
Seattle, WA 98144-2827

Phone

(844) 987-9274

NPI assigned

Oct 24, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1164999504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 POPLAR PL S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442827",
            "telephone_number": "844-987-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 POPLAR PL S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442827",
            "telephone_number": "844-987-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "ELLIS",
        "middle_name": "LEE",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00002904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006201",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Erin McDade
• Megan Kathleen McDaid-O'Neill
• Angela McDaniel, RD
• Brianna Michelle McDaniel
• Corrie McDaniel, D.O.
• Laurel A McDaniel, RPH
• Rebecca McDaniel, LMHC
• Sharon Faye McDaniel
• Tracy S McDaniel, ND,LM
• Joshua D McDavid, MD MPH

• Addiction (Substance Use Disorder) Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.