Individual provider Active NPI

Daniel Fowler

  • Professional Counselor
  • Lawrenceburg, TN
National Provider Identifier
1710365580
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6295 Issued in TN
Practice address
129 N Locust Ave
Lawrenceburg, TN 38464-3757
Phone
(931) 762-7232
Fax
(931) 762-7234
NPI assigned
May 13, 2015
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6295 TN Primary

Addresses

Primary practice location

129 N Locust Ave
Lawrenceburg, TN 38464-3757

Mailing address

45 Addimack CV
Bells, TN 38006-2400
Phone (731) 961-1796

Other practice location 1

45 Addimack Cv
Bells, TN 38006-2400
Phone (731) 961-1796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250502002314 TN Practitioner - Mental Health Counselor 8628595634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

45 Addimack CV
Bells, TN 38006-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6295TNMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Dec 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Dec 1, 2025 Accepting new patients
Ultra Health LLC CurrentSince Apr 28, 2025 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1710365580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ADDIMACK CV",
            "city": "BELLS",
            "state": "TN",
            "postal_code": "380062400",
            "telephone_number": "731-961-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643757",
            "telephone_number": "931-762-7232",
            "fax_number": "931-762-7234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Addimack Cv",
            "address_purpose": "LOCATION",
            "city": "Bells",
            "state": "TN",
            "postal_code": "380062400",
            "country_code": "US",
            "telephone_number": "731-961-1796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-13",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "6295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.