Danielle Koren Carver, MA, LPC
Individual provider Active NPI Professional Counselor · Mount Vernon, MO
NPI 1285873364 · NPPES record last updated Oct 10, 2011
Key facts
- NPI
- 1285873364
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2009002215 (MO)
- Practice address
- 603 N Main St
Mount Vernon, MO 65712-1074 - Phone
- (417) 466-7844
- Fax
- (417) 466-2625
- NPI assigned
- Feb 12, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009002215 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Baptist Childrens Home | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2009002215 | MO | Yes |
Addresses
Primary practice location
603 N Main St
Mount Vernon, MO 65712-1074
Mailing address
3210 W Aussie CT
Springfield, MO 65810-7500
Phone (417) 268-0250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431948009 | Medicaid | MO |
Other providers in Mount Vernon, MO
- Dwaine E Cales
- Cheryl Calvin
- Edward E Campbell
- Emily Carpenter
- Carthage Pharmacy Services Inc
- Tressie Casey
- Phyllis Fay Caudill-James
- Amanda J Chapman
- Cheryl G Williams DO PC
- Ka Cheuk
All providers in Mount Vernon, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.