Individual provider Active NPI

Morgan Ashley McDaniel, LPC

  • Professional Counselor
  • Swansea, IL
National Provider Identifier
1811754302
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.019463 Issued in IL
Practice address
4010 N Illinois St Ste D
Swansea, IL 62226-1967
Phone
(618) 520-1764
Fax
(618) 825-9400
NPI assigned
Mar 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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 178.019463 IL Primary

Addresses

Primary practice location

4010 N Illinois St Ste D
Swansea, IL 62226-1967

Mailing address

4 Noles Dr
Fairview Heights, IL 62208-1628
Phone (618) 409-6248

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

LicenseStateTypeSpecialty
178.019463ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creating Peace of Mind Cognitive Behavioral Health-LLC CurrentSince Mar 3, 2024 Accepting new patients

Locations

4010 N Illinois St
Ste D
Swansea, IL 62226
Phone (618) 520-1764

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": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1811754302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NOLES DR",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081628",
            "telephone_number": "618-409-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 N ILLINOIS ST STE D",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261967",
            "telephone_number": "618-520-1764",
            "fax_number": "618-825-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "MORGAN",
        "middle_name": "ASHLEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.019463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.