Active NPI
Laura Wyatt Daniel, PHD, LPC, NCC
- Mental Health Counselor
- Danville, VA
National Provider Identifier
1295909547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6656
- Practice address
- 500 Knottingham Way
Danville, VA 24540-5360 - Phone
- (336) 337-0094
- NPI assigned
- Apr 17, 2008
- Last updated
- Nov 2, 2012
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6656 | NC | Primary |
Addresses
Primary practice location
500 Knottingham Way
Danville, VA 24540-5360
Mailing address
500 Knottingham Way
Danville, VA 24540-5360
Phone (336) 337-0094
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6656 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Pediatric Counseling | Mental Health | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Forest, VA
- NPI 1659097384
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1295909547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 KNOTTINGHAM WAY",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245405360",
"telephone_number": "336-337-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 KNOTTINGHAM WAY",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245405360",
"telephone_number": "336-337-0094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "LAURA",
"middle_name": "WYATT",
"credential": "PHD, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-17",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "6656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, VA
- Dan River Emergency Services LLC
- Dan River Home Care Agency, LLC
- Dandelion Clock Transitions
- Daniel Chiropractic PLLC
- Carl Jamie Daniel, D.C.
- Danny W Gnewikow PH D LLC
- Danville Anesthesiologists Inc
- Danville BG Opco LLC (Bright Leaf Place)
- Danville Cardiology Center Inc
- Danville Dental Associates, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.