Active NPI
Emily Ann Daniel, LPC
- Professional Counselor
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 849000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 462057056 | Other | TX | TAX ID-GROUP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 849000 | TX | MD | Professional Counselor |
| 203859 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deep Eddy Psychotherapy Management, LLC | Current | Accepting new patients | |
| Prevail Counseling & Forensic Mental Health Consulting, P.C. | Counselor | Current | Accepting new patients |
| Prevail Counseling and Forensic Mental Health, | Mental Health | Current | 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.
-
- Counseling Psychologist
- Austin, TX
- NPI 1457740862
-
dba Prevail Behavioral Health & Wellness Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Conroe, TX
- NPI 1326488073
Counselor
-
dba Prevail Counseling & Forensic Mental Health,
- Mental Health Counselor
- Conroe, TX
- NPI 1235863242
-
- Psychiatry Physician
- Austin, TX
- NPI 1629853825
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.