Active NPI
Veronica P Daniel, CADTP
- Addiction (Substance Use Disorder) Counselor
- Ceres, CA
National Provider Identifier
1639203490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6504
- Practice address
- 2304 Calcagno St
Ceres, CA 95307-1646 - Phone
- (209) 345-3086
- NPI assigned
- Mar 15, 2007
- Last updated
- Sep 28, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6504 | CA | Primary |
Addresses
Primary practice location
2304 Calcagno St
Ceres, CA 95307-1646
Mailing address
1905 Ginkgo CT
Ceres, CA 95307-7120
Phone (209) 345-3086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639203490 | Other | CA | NPI 1639203490 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6504 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1639203490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 GINKGO CT",
"city": "CERES",
"state": "CA",
"postal_code": "953077120",
"telephone_number": "209-345-3086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2304 CALCAGNO ST",
"city": "CERES",
"state": "CA",
"postal_code": "953071646",
"telephone_number": "209-345-3086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "VERONICA",
"middle_name": "P",
"credential": "CADTP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "6504",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI 1639203490",
"identifier": "1639203490",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ceres, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.