Active NPI
Jason Chad McDaniel, LPC-MHSP
- Professional Counselor
- Ooltewah, TN
National Provider Identifier
1619108198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2435
- Practice address
- 9722 Mountainaire Dr
Ooltewah, TN 37363-9377 - Phone
- (423) 364-3287
- NPI assigned
- Aug 2, 2009
- Last updated
- Aug 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2435 | TN | Primary |
Addresses
Primary practice location
9722 Mountainaire Dr
Ooltewah, TN 37363-9377
Mailing address
9722 Mountainaire Dr
Ooltewah, TN 37363-9377
Phone (423) 364-3287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6200 Hospitality Dr
FL 1
Franklin, TN 37067-5023
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2435 | TN | MD | Pharmacist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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TN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249171200000",
"number": "1619108198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9722 MOUNTAINAIRE DR",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373639377",
"telephone_number": "423-364-3287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9722 MOUNTAINAIRE DR",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373639377",
"telephone_number": "423-364-3287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "JASON",
"middle_name": "CHAD",
"name_prefix": "Mr.",
"credential": "LPC-MHSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-02",
"last_updated": "2009-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "2435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ooltewah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.