Danell Will, LPC, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DANELL WILL, LPC, LLC

Practice address

1 W Sunbridge Dr
Fayetteville, AR 72703-1825

Phone

(479) 443-5575

NPI assigned

Oct 22, 2018

Last updated

Jun 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danell Will, LPCNPI 1336630052

Title

Owner

Phone

(308) 627-3612

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Danell Will, LPC, LLC

  • Mental Health Counselor
  • Springdale, AR
  • NPI 1437009149

  O20240705001770

  Same enrollment

Tax ID family

Danell Will LPC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Danell Will, LPC, LLC

  • Mental Health Counselor
  • Springdale, AR
  • NPI 1437009149
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danell Will, LPC

  • Professional Counselor
  • Fayetteville, AR
  • NPI 1336630052
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1215403977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 S 14TH PL",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727585501",
            "telephone_number": "308-627-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W SUNBRIDGE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031825",
            "telephone_number": "479-443-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANELL WILL, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "WILL",
        "authorized_official_first_name": "DANELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-627-3612",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Dallas, LCSW
• Michelle N Dallas
• Maya Olive Damet-Powell, LCSW
• Andres Damian
• Kimberly Rachel Dampier, M.S., C.C.C., SLP
• Minh-Tam Dang, MD
• Daniel J Fish DDS Inc (Fish Family Dentistry)
• Jess Hatchet Daniel, M.D.
• Lance Daniel I, OD
• Sarah Daniels, MS, LPC

• Professional Counselor in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.