Individual provider Active NPI

Tawanna L Daniels, LCPC

  • Professional Counselor
  • Oak Park, IL
National Provider Identifier
1407318728
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.009930 Issued in IL
Practice address
215 Harrison St
Oak Park, IL 60304-1533
Phone
(708) 218-8260
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.009930 IL Primary

Addresses

Primary practice location

215 Harrison St
Oak Park, IL 60304-1533

Mailing address

1027 Washington Blvd Apt 101
Oak Park, IL 60302-3753
Phone (708) 218-8260

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

LicenseStateTypeSpecialty
180.009930ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Seed Counseling Services PLLC Current Accepting new patients
Mosaic Counseling and Wellness LLC Professional CurrentSince Oct 22, 2023 Accepting new patients
GM Psychological Services, Inc. Past Accepting new patients

Locations

215 Harrison St
Oak Park, IL 60304
Phone (708) 628-8000

Organizations & group practices 3

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1407318728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 WASHINGTON BLVD APT 101",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023753",
            "telephone_number": "708-218-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HARRISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041533",
            "telephone_number": "708-218-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "TAWANNA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.