Roger Eugene Daniels, D.MIN.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LAC-18751 Issued in AZ

Practice address

6979 E Broadway Blvd
Tucson, AZ 85710-2800

Phone

(520) 800-9108

Fax

(520) 722-9175

NPI assigned

Apr 14, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Decatur Counseling Center, LLC

  • Clinical Social Worker
  • Decatur, IL
  • NPI 1548136583
  NPD (past)
• Decatur Psychological Associates PC

  • Counselor
  • Decatur, IL
  • NPI 1184732745
  NPD (past)

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1437323235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311 E SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101822",
            "telephone_number": "217-454-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6979 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102800",
            "telephone_number": "520-800-9108",
            "fax_number": "520-722-9175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3040 N University Ave",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625261391",
            "country_code": "US",
            "telephone_number": "217-872-1700",
            "fax_number": "217-872-1366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "ROGER",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "D.MIN.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.000325",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-18751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Daniell, LCSW
• Alden Blake Daniels, MD
• Jaycie Tee Daniels, RBT
• Jesse Daniels, LMT
• Lisa Daniels
• Selena Rochelle Daniels, PHARM.D.
• Todd Daniels, MS, ATC, LMT, CSCS
• Zachary Michael Daniels, DO
• Dileep Danivas
• Morgan Danke

• Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.