Jessica L Danielson, PHD, LPCC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

845-8-1-15-330 Issued in ND

Practice address

300 NP Avenue
Suite 201
Fargo, ND 58102-4871

Phone

(701) 941-0175

Fax

(701) 941-3001

NPI assigned

Feb 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1174156145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 24 AVE S",
            "address_2": "SUITE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581049038",
            "telephone_number": "701-941-0175",
            "fax_number": "701-941-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NP AVENUE",
            "address_2": "SUITE 201",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024871",
            "telephone_number": "701-941-0175",
            "fax_number": "701-941-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELSON",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "PHD, LPCC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2024-07-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "845-8-1-15-330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Daniels, MD
• Michael Stanley Danielski, LICSW
• Byron D. Danielson, M.D.
• Danielle Marie Danielson, FNP-C
• Jennifer Rae Danielson
• Katie Danielson, APRN, CNP
• Lynette Danuser, LMT
• Shaunalee Rose Darval, RN
• Jessica Lynn Gustin Dathe
• Kurt G. Datz, D.O.

• Professional Counselor in Fargo, ND
• Providers in Fargo, ND by specialty
• Professional Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.