Active NPI
Donna Collins McDaniel, LPC
- Professional Counselor
- Martinez, GA
National Provider Identifier
1235669888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 009576
- Practice address
- 3711 Executive Center Dr Ste 201
Martinez, GA 30907-0953 - Phone
- (706) 868-5011
- Fax
- (706) 868-5023
- NPI assigned
- Jun 15, 2017
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 009576 | GA | Primary |
Addresses
Primary practice location
3711 Executive Center Dr Ste 201
Martinez, GA 30907-0953
Mailing address
9 Teal CT
North Augusta, SC 29841-3276
Phone (803) 514-3686
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 |
|---|---|---|---|
| 009576 | GA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling Center of the Csra, Inc. | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Augusta, GA
- NPI 1952423790
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497484800000",
"number": "1235669888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 TEAL CT",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298413276",
"telephone_number": "803-514-3686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3711 EXECUTIVE CENTER DR STE 201",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309070953",
"telephone_number": "706-868-5011",
"fax_number": "706-868-5023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "DONNA",
"middle_name": "COLLINS",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-15",
"last_updated": "2017-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "009576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.