Individual provider Active NPI

Danielle Lynne Ciccone, MS, LPCC

  • Mental Health Counselor
  • Agoura Hills, CA
National Provider Identifier
1275964678
Registry record updated May 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC4677 Issued in CA
Practice address
30101 Agoura CT Ste 111
Agoura Hills, CA 91301-4301
Phone
(818) 658-2137
NPI assigned
Dec 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC4677 CA Primary

Addresses

Primary practice location

30101 Agoura CT Ste 111
Agoura Hills, CA 91301-4301

Mailing address

30101 Agoura CT Ste 111
Agoura Hills, CA 91301-4301
Phone (818) 658-2137

Other names 1

  • Danielle Lynne Joel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPCC4677CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle Ciccone, Licensed Professional Clinical Counselor, Inc. Mental Health CurrentSince Aug 1, 2021 Accepting new patients

Locations

30101 Agoura Ct
Ste 150
Agoura Hills, CA 91301
Phone (818) 207-6038

30101 Agoura Ct
Ste 111
Agoura Hills, CA 91301
Phone (415) 756-1877

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.

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715472000000",
    "number": "1275964678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30101 AGOURA CT STE 111",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014301",
            "telephone_number": "818-658-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30101 AGOURA CT STE 111",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014301",
            "telephone_number": "818-658-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCONE",
        "first_name": "DANIELLE",
        "middle_name": "LYNNE",
        "credential": "MS, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2024-05-12",
        "certification_date": "2024-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC4677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "JOEL",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Agoura Hills, CA

Sources for this page

Verify at the official NPI Registry.