Danny Anderson Counseling Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DANNY ANDERSON COUNSELING SERVICES LLC

Practice address

10351 Dawsons Creek Blvd Ste J
Fort Wayne, IN 46825-1961

Phone

(260) 615-6609

Fax

(260) 264-6779

NPI assigned

Nov 29, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Danny M Anderson Jr., LCSWNPI 1043944176

Title

Member/Owner

Phone

(260) 413-4140

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danny M Anderson Jr., LCSW

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1043944176
  Medicare reassignment NPD Authorized official
• Kelsey E. Tiernon, MA

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1952828014
  NPD

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1194435388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10351 DAWSONS CREEK BLVD STE J",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251961",
            "telephone_number": "260-615-6609",
            "fax_number": "260-264-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10351 DAWSONS CREEK BLVD STE J",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251961",
            "telephone_number": "260-615-6609",
            "fax_number": "260-264-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNY ANDERSON COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "260-413-4140",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan E Daniels
• Theodore Joseph Daniels
• Illya Danilchev
• Mark Dankowski
• Maya Dannaoui
• Brandy M. Dantzer, NP
• Paul H Dapp, PT
• Darah Medical Equipment and Supplies LLC
• Lindsey Darby, MA
• Dare to Believe in Home Care LLC

• Clinical Social Worker in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.