Active NPI
Theresa M Daniels, CDCA
- Addiction (Substance Use Disorder) Counselor
- Grove City, OH
National Provider Identifier
1235861949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDCA.180430
- Practice address
- 4160 Broadway
Grove City, OH 43123-3024 - Phone
- (614) 875-0079
- NPI assigned
- Jun 30, 2022
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.180430 | OH | Primary |
Addresses
Primary practice location
4160 Broadway
Grove City, OH 43123-3024
Mailing address
8515 Lyra Dr # 302
Columbus, OH 43240-2026
Phone (740) 803-9425
Other practice location 1
1065 Delaware Ave Ste A
Marion, OH 43302-6461
Phone (740) 803-9425
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | RXNT.com | Direct |
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 |
|---|---|---|---|
| CDCA.180430 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1235861949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8515 LYRA DR # 302",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432402026",
"telephone_number": "740-803-9425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 BROADWAY",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431233024",
"telephone_number": "614-875-0079"
}
],
"practiceLocations": [
{
"address_1": "1065 Delaware Ave Ste A",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "OH",
"postal_code": "433026461",
"country_code": "US",
"telephone_number": "740-803-9425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANIELS",
"first_name": "THERESA",
"middle_name": "M",
"credential": "CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-30",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.180430",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "RXNT.com",
"affiliation": "N",
"endpointDescription": "RXNT",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Cloud online",
"address_1": "4160 Broadway",
"city": "Grove City",
"state": "OH",
"country_code": "US",
"postal_code": "431233024",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Grove City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.