Active NPI
Paul R McDaniel, D. MIN.
- Clinical Social Worker
- Fishers, IN
National Provider Identifier
1326160268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34002600A
- Practice address
- 10412 Allisonville Rd
Suite 105
Fishers, IN 46038-2033 - Phone
- (317) 578-9200
- Fax
- (317) 578-9201
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39000618A | IN | |
| Clinical Social Worker | 1041C0700X | 34002600A | IN | Primary |
Addresses
Primary practice location
10412 Allisonville Rd
Suite 105
Fishers, IN 46038-2033
Mailing address
10412 Allisonville Rd
Suite 105
Fishers, IN 46038-2033
Phone (317) 578-9200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39000618A | IN | MD | Mental Health Counselor |
| 34002600A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Center at the Crossing, Inc. | 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 and National Provider Directory roles.
-
- Mental Health Counselor
- Fishers, IN
- NPI 1578684031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342137600000",
"number": "1326160268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10412 ALLISONVILLE RD",
"address_2": "SUITE 105",
"city": "FISHERS",
"state": "IN",
"postal_code": "460382033",
"telephone_number": "317-578-9200",
"fax_number": "317-578-9201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10412 ALLISONVILLE RD",
"address_2": "SUITE 105",
"city": "FISHERS",
"state": "IN",
"postal_code": "460382033",
"telephone_number": "317-578-9200",
"fax_number": "317-578-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "PAUL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D. MIN.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2012-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39000618A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34002600A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.