Dauntless Counseling and Consulting LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DAUNTLESS COUNSELING AND CONSULTING LLC

Practice address

520 S Walnut St # 3126
Bloomington, IN 47401-4618

Phone

(812) 502-4100

NPI assigned

Mar 9, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bryan J Shepard, LCSWNPI 1366828865

Title

Owner

Phone

(812) 502-4100

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan Shepard, LCSW

  • Clinical Social Worker
  • Bloomington, IN
  • NPI 1366828865
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1316694375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S WALNUT ST # 3126",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014618",
            "telephone_number": "812-502-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S WALNUT ST # 3126",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014618",
            "telephone_number": "812-502-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAUNTLESS COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-502-4100",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Aaron Dash
• Otar Datiashvili, MD
• Cassidy Daugherty, RBT
• Liana Daugherty
• Olivia Daugherty, RBT
• Abigail Davenport-Mikusak, RBT
• David G. Crane, Inc.
• Deanna Davidson, RBT
• Ellen L Davidson
• Laura Elizabeth Davidson, NP

• Clinical Social Worker in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.