Individual provider Active NPI

Danielle Wrencher, M.ED

  • Counselor
  • Crestview, FL
National Provider Identifier
1609437383
Registry record updated Mar 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
501 Eisenhower Dr
Crestview, FL 32539-6955
Phone
(850) 634-8465
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH-19176 FL
Mental Health Counselor 101YM0800X 184786 AK
Counselor 101Y00000X Primary

Addresses

Primary practice location

501 Eisenhower Dr
Crestview, FL 32539-6955

Mailing address

2821 S Ferdon Blvd # 1010
Crestview, FL 32536-8474
Phone (850) 634-8465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
184786AKMDMental Health Counselor
MH-19176FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Salvation Army, a California Corporation PastSince Nov 24, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677974400000",
    "number": "1609437383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 S FERDON BLVD # 1010",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325368474",
            "telephone_number": "850-634-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 EISENHOWER DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325396955",
            "telephone_number": "850-634-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRENCHER",
        "first_name": "DANIELLE",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH-19176",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "184786",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.