Daniel Michael Kinjorski

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4963 Issued in TN

Practice address

1521 Dunbar Cave Rd
Clarksville, TN 37043-2100

Phone

(615) 500-5987

NPI assigned

Nov 8, 2021

Last updated

Nov 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pathfinder Counseling Group LLC

  • Mental Health Counselor
  • Clarksville, TN
  • NPI 1184477366
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1518622133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 DUNBAR CAVE RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432100",
            "telephone_number": "615-500-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 DUNBAR CAVE RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432100",
            "telephone_number": "615-500-5987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 Donelson Pkwy",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "TN",
            "postal_code": "370583753",
            "country_code": "US",
            "telephone_number": "615-500-5987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINJORSKI",
        "first_name": "DANIEL",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "4963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis King
• Kiara King
• Shawn M King, MD
• Shuntrell M King
• Jenny Lynn Kingsbury, AU.D.
• John W Kinney, DDS
• Amanda Kinzie
• Noah Kippenhan, MAT, LAT, ATC
• Harvey Ray Kirby I, MA
• Kirk Sahagian DO PLLC

• Mental Health Counselor in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.