Tabitha V Daniels

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

4389 W Maysfield Dr Ste 100
Augusta, GA 30909-9648

Phone

(706) 496-2856

Fax

(762) 333-2872

NPI assigned

Dec 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1558020511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4389 W MAYSFIELD DR STE 100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099648",
            "telephone_number": "706-496-2856",
            "fax_number": "762-333-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4389 W MAYSFIELD DR STE 100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099648",
            "telephone_number": "706-496-2856",
            "fax_number": "762-333-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "TABITHA",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hello@wilsonsgoh.com",
            "affiliation": "N",
            "endpointDescription": "hello@wilsonsgoh.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4389 W Maysfield Dr Ste 100",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309099648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Larry E Daniels, PSY.D
• Natalie Peterson Daniels, LMSW
• Robert Aren Daniels, DPT
• Schquwanna L Daniels
• Stephanie B Daniels, PA
• Aloni Kye Daniely
• Tanya Maiers Dannemann, MD
• Abigail O Danns, LCSW
• Wisam Daoud, MD
• Sumanth R Daram, M.D.

• Professional Counselor in Augusta, GA
• Providers in Augusta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.