Active NPI
Bunnoi A McDaniel, LPC
- Counselor
- Grand Prairie, TX
National Provider Identifier
1194085019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 65649
- Practice address
- 2321 S Belt Line Rd
Suite 120
Grand Prairie, TX 75051-4181 - Phone
- (927) 646-0490
- Fax
- (210) 271-9414
- NPI assigned
- May 24, 2012
- 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 | 65649 | TX | Primary |
Addresses
Primary practice location
2321 S Belt Line Rd
Suite 120
Grand Prairie, TX 75051-4181
Mailing address
1222 N Main Ave
Suite 740
San Antonio, TX 78212-5712
Phone (210) 271-7411
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
| License | State | Type | Specialty |
|---|---|---|---|
| 65649 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1194085019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 N MAIN AVE",
"address_2": "SUITE 740",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125712",
"telephone_number": "210-271-7411",
"fax_number": "210-271-9414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 S BELT LINE RD",
"address_2": "SUITE 120",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750514181",
"telephone_number": "927-646-0490",
"fax_number": "210-271-9414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "BUNNOI",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-24",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "65649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.