Niko Dantzler-Johnson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC017685 Issued in PA

Practice address

615 E Upsal St Apt 106
Philadelphia, PA 19119-3937

Phone

(215) 395-5238

NPI assigned

Nov 15, 2024

Last updated

Nov 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1760206775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E UPSAL ST APT 106",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193937",
            "telephone_number": "215-490-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E UPSAL ST APT 106",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193937",
            "telephone_number": "215-395-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTZLER-JOHNSON",
        "first_name": "NIKO",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC017685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentian Dano, CRNP
• Gertrude Danquah
• Richard Y Danquah, MOBILE THERAPIST
• Cristhian Dantagnan, M.ED., LPC
• Stephen J Dante, MD
• Shanaya Nicole Dantzler, LPC
• Vivian Dantzler, MA, LBS
• Iryna Danylyuk, CRNP
• Jennifer Anne Danzig, M.D.
• Peter Andrew Danzig, MSW

• Mental Health Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.