Individual provider Active NPI

Destiny Munachiso Ulonnaya, LMHC

  • Mental Health Counselor
  • Springfield, MA
National Provider Identifier
1770132748
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC5000885 Issued in MA
Practice address
153 Magazine St
Springfield, MA 01109-4016
Phone
(844) 642-9355
Fax
(413) 732-0309
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X LMHC5000885 MA Primary

Addresses

Primary practice location

153 Magazine St
Springfield, MA 01109-4016

Mailing address

1129 Riverdale St # 1047
West Springfield, MA 01089-4615
Phone (413) 474-8863

Other names 1

  • Destiny Munachiso Daniels Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ddaniels@mhainc.org

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMHC5000885MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Association, Inc. CurrentSince Oct 1, 2021 Accepting new patients

Locations

153 Magazine St
Springfield, MA 01109
Phone (413) 734-5376

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1770132748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 RIVERDALE ST # 1047",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894615",
            "telephone_number": "413-474-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 MAGAZINE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011094016",
            "telephone_number": "844-642-9355",
            "fax_number": "413-732-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULONNAYA",
        "first_name": "DESTINY",
        "middle_name": "MUNACHISO",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC5000885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddaniels@mhainc.org",
            "affiliation": "N",
            "address_1": "153 Magazine St",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011094016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DESTINY",
            "last_name": "DANIELS",
            "middle_name": "MUNACHISO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.