Individual provider Active NPI

Emily Ann Daniel, LPC

  • Professional Counselor
  • Conroe, TX
National Provider Identifier
1629702287
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
849000 Issued in TX
Practice address
620 Longmire Rd
Conroe, TX 77304-1819
Phone
(936) 443-9629
Fax
(855) 443-9630
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 203859 TX
Professional Counselor 101YP2500X 849000 TX Primary

Addresses

Primary practice location

620 Longmire Rd
Conroe, TX 77304-1819

Mailing address

620 Longmire Rd
Conroe, TX 77304-1819
Phone (936) 443-9629

Other identifiers 1

IdentifierTypeStateIssuer
462057056OtherTXTAX ID-GROUP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@prevailcounseling.com Direct

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

State licenses

LicenseStateTypeSpecialty
849000TXMDProfessional Counselor
203859TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deep Eddy Psychotherapy Management, LLC CurrentSince Oct 1, 2024 Accepting new patients
Prevail Counseling & Forensic Mental Health Consulting, P.C. Counselor CurrentSince Aug 28, 2022 Accepting new patients
Prevail Counseling and Forensic Mental Health, Mental Health CurrentSince Jul 17, 2022 Accepting new patients
Deep Centered Psychiatry PLLC Past Accepting new patients

Locations

2600 W Stassney Ln
Austin, TX 78745
Phone (512) 729-8522

508 Deep Eddy Ave
Austin, TX 78703
Phone (512) 469-0889

620 Longmire Rd
Conroe, TX 77304
Phone (855) 443-9629

Organizations & group practices 4

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1629702287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 LONGMIRE RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041819",
            "telephone_number": "936-443-9629",
            "fax_number": "855-443-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 LONGMIRE RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041819",
            "telephone_number": "936-443-9629",
            "fax_number": "855-443-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203859",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "849000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID-GROUP",
            "identifier": "462057056",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@prevailcounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "info@prevailcounseling.com",
            "address_1": "620 Longmire Rd",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773041819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.