Daniel Bassman, M.A.
Individual provider Active NPI Professional Counselor · Covington, KY
NPI 1629328141 · NPPES record last updated Sep 3, 2014
Key facts
- NPI
- 1629328141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPCPCC00195365 (KY)
- Practice address
- 722 Scott St
Covington, KY 41011-2418 - Phone
- (859) 491-1348
- Fax
- (859) 491-7174
- NPI assigned
- Sep 12, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCPCC00195365 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Kentucky Mental Health Mental Retardation Regional Board | Past | Accepting new patients | |
| Northern Kentucky Mental Health Mental Retardation Regional Board | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCPCC00195365 | KY | Yes |
Addresses
Primary practice location
722 Scott St
Covington, KY 41011-2418
Mailing address
PO Box 2680
Covington, KY 41012-2680
Phone (859) 578-3208
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610661458 | Other | KY | TAX ID |
Other providers in Covington, KY
- Alyssa Charie Ball
- Aneesah Mailakia Bankhead
- Suzanne K. Barger
- Lori Michelle Barrett
- Adam Barstow
- Beautiful Minds JF4
- Megan Jane Beck
- Michele Rogers Beck
- Andrea Evelyn Becker
- Cindy Marie Becknell
All providers in Covington, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.