Daniel Olaciregui, MS, LMHC, LCMHC

Individual provider Active NPI Mental Health Counselor · Middlesex, NC

NPI 1568046498 · NPPES record last updated Mar 27, 2025

Key facts

NPI
1568046498
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
MH172120 (FL)
Practice address
58 Longbow Dr
Middlesex, NC 27557-9475
Phone
(754) 212-7570
NPI assigned
May 6, 2021
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH172120FLMDMental Health Counselor
16837NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
DO Therapy 198, PLLC Current
since Jul 13, 2025
Accepting new patients

Locations

11845 Retail Dr
Wake Forest, NC 27587
Phone (860) 578-4811

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 16837 NC
Mental Health Counselor 101YM0800X MH172120 FL Yes

Addresses

Primary practice location

58 Longbow Dr
Middlesex, NC 27557-9475

Mailing address

11845 Retail Dr # 1089
Wake Forest, NC 27587-7352
Phone (754) 212-7570

Other providers in Middlesex, NC

All providers in Middlesex, NC · Mental Health Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.