Individual provider Active NPI

Adam Daniel, MA, LPC

  • Professional Counselor
  • Montclair, NJ
National Provider Identifier
1609421908
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00731500 Issued in NJ
Practice address
6-8 Gates Ave Ste 3B
Montclair, NJ 07042-3777
Phone
(973) 604-6881
NPI assigned
Aug 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00731500 NJ Primary

Addresses

Primary practice location

6-8 Gates Ave Ste 3B
Montclair, NJ 07042-3777

Mailing address

65 Arlington Ave Apt 318
Bloomfield, NJ 07003-4692
Phone (201) 270-8086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20240216000449 NJ Practitioner - Mental Health Counselor 6800268608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Happy Mango Mental Health PCGroup PAC ID 3678929593, 10 clinicians

Practice addresses (Care Compare)

26 Madison Ave
Suite 6
Morristown, NJ 07960-7366
Phone (973) 490-4284

6 -8 Gates Ave
Suite 3B
Montclair, NJ 07042-3777
Phone (973) 604-6881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Connections Counseling LLC CurrentSince Jan 3, 2024 Accepting new patients
Pebble Wellness LLC CurrentSince Apr 30, 2023 Accepting new patients

Locations

6-8 Gates Ave
Ste 3B
Montclair, NJ 07042
Phone (973) 604-6881

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1609421908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ARLINGTON AVE APT 318",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034692",
            "telephone_number": "201-270-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6-8 GATES AVE STE 3B",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423777",
            "telephone_number": "973-604-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "ADAM",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00731500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.