Daniel M Fennell, LPCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10240 Issued in SC

Practice address

810 Dutch Square Blvd
Columbia, SC 29210-7318

Phone

(984) 212-0028

NPI assigned

Dec 27, 2024

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1518775253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PITSFORD CT",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638344",
            "telephone_number": "213-265-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 DUTCH SQUARE BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292107318",
            "telephone_number": "984-212-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "DANIEL",
        "middle_name": "M",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "10240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Ryan Fenegan, PHARM D
• Timothy R Fengler, MD
• Audrey Fenin, M.D.
• Gareth Nerisa Fenley, LMSW, CPRP
• Cheryl Lyn Fennell, LPC
• Hannah Marie Fenner
• Leatha Marie Ferdon, PA
• Emily J Ferguson, APRN
• James David Ferguson, M.D.
• Jessica Ann Ferguson, RT

• Professional Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.