Tami McDaniel Mossman, LCPC, CADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180004510 Issued in IL

Practice address

801 S Grand Ave W
Springfield, IL 62704-3640

Phone

(217) 502-9120

NPI assigned

Jun 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tami McDaniel Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1396783866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 LARCHMONT DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627042109",
            "telephone_number": "217-793-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S GRAND AVE W",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043640",
            "telephone_number": "217-502-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL MOSSMAN",
        "first_name": "TAMI",
        "credential": "LCPC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004510",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "13042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMI",
            "last_name": "MCDANIEL",
            "credential": "LCPC. CADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michelle Lee McCoy, CNOR,RNFA
• Savannah McCoy, RBT
• Matthew Tyler McCracken, MD
• Maureen McCue
• Melissa Ann McCulloch, LCSW
• Christina L McDaniel, PA-C
• Elizabeth McDaniel, D.O.
• Richard T McDaniel, DDS
• Amanda Joann McDannald, DNP
• Chloe McDannald, RBT

• Professional Counselor in Springfield, IL
• Providers in Springfield, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.