Active NPI
Danielle Warren, LMHC
- Professional Counselor
- Eagle Lake, FL
National Provider Identifier
1689115271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14929
- Practice address
- 35 Don Polston Dr
Eagle Lake, FL 33839-3177 - Phone
- (863) 286-5755
- NPI assigned
- Mar 15, 2017
- Last updated
- Jul 29, 2026
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 14929 | FL | Primary |
Addresses
Primary practice location
35 Don Polston Dr
Eagle Lake, FL 33839-3177
Mailing address
PO Box 1214
Eagle Lake, FL 33839-1214
Phone (863) 286-5755
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 |
|---|---|---|---|
| 14929 | FL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1689115271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1214",
"city": "EAGLE LAKE",
"state": "FL",
"postal_code": "338391214",
"telephone_number": "863-286-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 DON POLSTON DR",
"city": "EAGLE LAKE",
"state": "FL",
"postal_code": "338393177",
"telephone_number": "863-286-5755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "DANIELLE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-15",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "14929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle Lake, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.