Mitchel Daniels
Individual provider Active NPI Mental Health Counselor · Harrisburg, IL
NPI 1831801638 · NPPES record last updated Dec 23, 2022
Key facts
- NPI
- 1831801638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 110 Williams Dr
Harrisburg, IL 62946-3783 - Phone
- (618) 499-4881
- NPI assigned
- Dec 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IL | Yes |
Addresses
Primary practice location
110 Williams Dr
Harrisburg, IL 62946-3783
Mailing address
110 Williams Dr
Harrisburg, IL 62946-3783
Phone (618) 499-4881
Other practice location 1
626 W Oakdale Ave
Chicago, IL 60657-5310
Phone (618) 499-4881
Other practice location 2
90 State St Apt 1112
Albany, NY 12207-1703
Phone (618) 499-4881
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html |
Other providers in Harrisburg, IL
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- Gail Elizabeth Dailey
- Jaci Rae Dale
- Daniel R Brown
- Benna Kaye Daugherty
- Christina Rae Davis
- Danielle Davis
- Deborah Davis
- Karsyn Davis
All providers in Harrisburg, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.