Individual provider Active NPI

Cheryl Dennise Daniels

  • Addiction (Substance Use Disorder) Counselor
  • Anchorage, AK
National Provider Identifier
1356972491
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
401 W International Airport Rd Ste 27
Anchorage, AK 99518-1168
Phone
(907) 562-4540
Fax
(907) 562-4502
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

401 W International Airport Rd Ste 27
Anchorage, AK 99518-1168

Mailing address

401 W International Airport Rd Ste 17
Anchorage, AK 99518-1168
Phone (907) 770-3656

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wisdom Traditions Counseling Services, LLC CurrentSince Feb 2, 2020 Accepting new patients
Wisdom Traditions Counseling Services, LLC PastSince Feb 2, 2020 Accepting new patients

Locations

401 W International Rd
Ste 27
Anchorage, AK 99518
Phone (907) 562-4540

401 W International Rd
Ste 17
Anchorage, AK 99518
Phone (907) 770-3656

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1356972491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W INTERNATIONAL AIRPORT RD STE 17",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181168",
            "telephone_number": "907-770-3656",
            "fax_number": "907-562-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W INTERNATIONAL AIRPORT RD STE 27",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181168",
            "telephone_number": "907-562-4540",
            "fax_number": "907-562-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "CHERYL",
        "middle_name": "DENNISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.