Mark Richard Daniels, BA, MBA, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

17113 Minnetonka Blvd
West Entrance
Minnetonka, MN 55345

Phone

(612) 306-9099

NPI assigned

Sep 15, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Master of Arts, Master of Business Administration

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1831471812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 144TH ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246996",
            "telephone_number": "612-306-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17113 MINNETONKA BLVD",
            "address_2": "WEST ENTRANCE",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "55345",
            "telephone_number": "612-306-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "credential": "BA, MBA, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Dahling
• Lauren Daiuto
• Colleen Dale, LICSW
• Kathleen Dando, MSW, LICSW
• Mahryam Daniels, LMFT
• Ronni Hickman Daniels, NP
• Stuart Samuel Dansinger, EDS
• Ryan Clay Daro, M.D.
• Jennifer Dart, RN, CNP
• Jessica Rebecca Dasher, NP

• Mental Health Counselor in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.