Active NPI
Ashley Michele Daniel, APC
- Professional Counselor
- Roswell, GA
National Provider Identifier
1528709730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC009356
- Practice address
- 11111 Houze Rd Ste 225
Roswell, GA 30076-5618 - Phone
- (770) 603-0123
- NPI assigned
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC009356 | GA | Primary |
| Behavior Technician | 106S00000X | RBT-22-209655 | GA |
Addresses
Primary practice location
11111 Houze Rd Ste 225
Roswell, GA 30076-5618
Mailing address
11111 Houze Rd Ste 225
Roswell, GA 30076-5618
Phone (770) 389-8100
Other practice location 1
3338 Trickum Rd
Woodstock, GA 30188-4242
Phone (470) 472-0039
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
| License | State | Type | Specialty |
|---|---|---|---|
| APC009356 | GA | MD | Professional Counselor |
| RBT-22-209655 | GA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Recovery Network LLC | Professional | Current | Accepting new patients |
Locations
11111 Houze Rd
Ste 225
Roswell, GA 30076
Phone (770) 436-9700
Organizations & group practices 1
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.
-
dba LifeStance Health
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1528709730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11111 HOUZE RD STE 225",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765618",
"telephone_number": "770-389-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 HOUZE RD STE 225",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765618",
"telephone_number": "770-603-0123"
}
],
"practiceLocations": [
{
"address_1": "3338 Trickum Rd",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "GA",
"postal_code": "301884242",
"country_code": "US",
"telephone_number": "470-472-0039",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANIEL",
"first_name": "ASHLEY",
"middle_name": "MICHELE",
"credential": "APC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC009356",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "RBT-22-209655",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.