Daniel Clements

Individual provider Active NPI Mental Health Counselor · Truckee, CA

NPI 1306470513 · NPPES record last updated Feb 26, 2020

Key facts

NPI
1306470513
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
10038 Meadow Way Unit D
Truckee, CA 96161-4974
Phone
(907) 707-9012
NPI assigned
Feb 26, 2020
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Mountain Center, Inc Mental Health Past
since Mar 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

10038 Meadow Way Unit D
Truckee, CA 96161-4974

Mailing address

10038 Meadow Way Unit D
Truckee, CA 96161-4974

Other providers in Truckee, CA

All providers in Truckee, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.