Daniel Pryor, MA

Key facts

NPI

1295922979

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

LH00003622 (WA)

Practice address

43611 N 50TH Dr
New River, AZ 85087-3088

Phone

(425) 778-6169

Fax

(425) 491-7491

NPI assigned

Sep 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 13, 2025.

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1295922979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43611 N 50TH DR",
            "city": "NEW RIVER",
            "state": "AZ",
            "postal_code": "850873088",
            "telephone_number": "425-778-6169",
            "fax_number": "425-491-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43611 N 50TH DR",
            "city": "NEW RIVER",
            "state": "AZ",
            "postal_code": "850873088",
            "telephone_number": "425-778-6169",
            "fax_number": "425-491-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "DANIEL",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00003622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "911679961 PR5609",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in New River, AZ · Mental Health Counselor in Arizona