Active NPI
Mignonette R Daniels, MSW LSW
- Counselor
- Indianapolis, IN
National Provider Identifier
1225190234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 825 N Gladstone Ave
Indianapolis, IN 46201-2646 - Phone
- (317) 699-5427
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
825 N Gladstone Ave
Indianapolis, IN 46201-2646
Mailing address
825 N Gladstone Ave
Indianapolis, IN 46201-2646
Phone (317) 699-5427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100270530A | Medicaid | IN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1225190234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 N GLADSTONE AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462012646",
"telephone_number": "317-699-5427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 N GLADSTONE AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462012646",
"telephone_number": "317-699-5427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "MIGNONETTE",
"middle_name": "R",
"credential": "MSW LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100270530A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.