Danielle Abraham, LPC
Individual provider Active NPI Mental Health Counselor · Appleton, WI
NPI 1487023040 · NPPES record last updated Mar 25, 2024
Key facts
- NPI
- 1487023040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6064-125 (WI)
- Practice address
- 3301 N Ballard Rd Ste C
Appleton, WI 54911-9002 - Phone
- (920) 941-8326
- NPI assigned
- Sep 24, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240822002237 | WI | Practitioner - Mental Health Counselor | 8921547985 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6064-125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farrar and Associates Mental Health SC | Mental Health | Current |
Accepting new patients |
| Esprit Counseling & Consulting | Past | Accepting new patients |
Locations
3301 N Ballard Rd
Ste C
Appleton, WI 54911
Phone (920) 202-3954
16 Tri Park Way
Appleton, WI 54914
Phone (920) 841-8326
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6064-125 | WI | Yes |
Addresses
Primary practice location
3301 N Ballard Rd Ste C
Appleton, WI 54911-9002
Mailing address
3301 N Ballard Rd Ste C
Appleton, WI 54911-9002
Phone (920) 941-8326
Other providers in Appleton, WI
- Miranda Abbott
- Abc Transportation LLC
- Mohamed Hassan Abdelazim
- Abdoullah Aboulhassani
- Zenoun O Abouzelam
- Sarah A Abraham
- Access Valley Transport Inc
- Ace Chiropractic & Wellness SC
- Satish K Achanti
- Shalini Achanti
All providers in Appleton, WI · Mental Health Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.