Active NPI
Cearden Datoon, LPC
- Counselor
- Muncie, IN
National Provider Identifier
1285365569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-8636
- Practice address
- 2705 W Kings Canyon Rd
Muncie, IN 47303-0006 - Phone
- (208) 821-8578
- NPI assigned
- Jun 18, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-8636 | ID | Primary |
Addresses
Primary practice location
2705 W Kings Canyon Rd
Muncie, IN 47303-0006
Mailing address
PO Box 1918
Muncie, IN 47308-1918
Other practice location 1
148 Adams St
Pocatello, ID 83202-2110
Phone (208) 821-8578
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 |
|---|---|---|---|
| LPC-8636 | ID | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655510400000",
"number": "1285365569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1918",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473081918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 W KINGS CANYON RD",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473030006",
"telephone_number": "208-821-8578"
}
],
"practiceLocations": [
{
"address_1": "148 Adams St",
"address_purpose": "LOCATION",
"city": "Pocatello",
"state": "ID",
"postal_code": "832022110",
"country_code": "US",
"telephone_number": "208-821-8578",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DATOON",
"first_name": "CEARDEN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-18",
"last_updated": "2022-06-18",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LPC-8636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.