NPIMap

Individual provider Active NPI

Daniel Richard Mowry, LPC

  • Mental Health Counselor
  • Janesville, WI
National Provider Identifier
1861760910
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4695125 Issued in WI
Practice address
2640 Milton Ave
Janesville, WI 53545-0231
Phone
(608) 755-1475
Fax
(608) 755-1733
NPI assigned
Dec 5, 2011
Last updated
Dec 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4695125 WI Primary

Addresses

Primary practice location

2640 Milton Ave
Janesville, WI 53545-0231

Mailing address

2640 Milton Avenue
Janesville, WI 53545-0231
Phone (608) 755-1475

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
4695125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Janesville Psychiatric Clinic Daytreatment for Children Mental Health Past Accepting new patients
Janesville Psychiatric Clinic Main Inc Mental Health Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1861760910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 MILTON AVENUE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450231",
            "telephone_number": "608-755-1475",
            "fax_number": "608-755-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 MILTON AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450231",
            "telephone_number": "608-755-1475",
            "fax_number": "608-755-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWRY",
        "first_name": "DANIEL",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4695125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

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