Active NPI
Emily Miranda Daniel, LPC-MHSP
- Professional Counselor
- Madison, TN
National Provider Identifier
1720732324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5178
- Practice address
- 215 Dupont Ave
Madison, TN 37115-3712 - Phone
- (662) 643-5687
- NPI assigned
- Feb 11, 2022
- Last updated
- Apr 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5178 | TN | Primary |
Addresses
Primary practice location
215 Dupont Ave
Madison, TN 37115-3712
Mailing address
215 Dupont Ave
Madison, TN 37115-3712
Phone (662) 643-5687
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 |
|---|---|---|---|
| 5178 | TN | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1720732324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 DUPONT AVE",
"city": "MADISON",
"state": "TN",
"postal_code": "371153712",
"telephone_number": "662-643-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 DUPONT AVE",
"city": "MADISON",
"state": "TN",
"postal_code": "371153712",
"telephone_number": "662-643-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "EMILY",
"middle_name": "MIRANDA",
"credential": "LPC-MHSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-11",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "5178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.