Individual provider Active NPI

Danielle Scanlon, LPC, LMHC, LISAC

  • Counselor
  • Dothan, AL
National Provider Identifier
1194201541
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2285 County Road 79
Dothan, AL 36303-9455
Phone
(850) 518-2151
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 20779 SD
Professional Counselor 101YP2500X 48724 ID
Counselor 101Y00000X Primary
Mental Health Counselor 101YM0800X 18725 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X 15092 AZ

Addresses

Primary practice location

2285 County Road 79
Dothan, AL 36303-9455

Mailing address

2285 County Road 79
Dothan, AL 36303-9455
Phone (850) 518-2151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15092AZMDAddiction (Substance Use Disorder) Counselor
18725FLMDMental Health Counselor
48724IDMDProfessional Counselor
20779SDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Counseling PLLC PastSince Jan 23, 2013 Accepting new patients
Tucson Psychiatry PLLC PastSince May 26, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1194201541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 COUNTY ROAD 79",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363039455",
            "telephone_number": "850-518-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 COUNTY ROAD 79",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363039455",
            "telephone_number": "850-518-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "DANIELLE",
        "credential": "LPC, LMHC, LISAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "20779",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "48724",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "18725",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "15092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.