Individual provider Active NPI

Daniel M Patterson, LPCC

  • Mental Health Counselor
  • Warren, OH
National Provider Identifier
1871973115
Registry record updated Nov 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.1901106 Issued in OH
Practice address
336 Laird Ave SE
Warren, OH 44483-6026
Phone
(234) 806-5008
NPI assigned
Jun 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2021

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 E.1901106 OH Primary

Addresses

Primary practice location

336 Laird Ave SE
Warren, OH 44483-6026

Mailing address

336 Laird Ave SE
Warren, OH 44483-6026
Phone (234) 806-5008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260324003159 OH Practitioner - Mental Health Counselor 7719469519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

624 Vienna Ave
Niles, OH 44446-2640

624 Vienna Ave
Niles, OH 44446-2698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1901106OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Fire Counseling Current Accepting new patients
Lone Wolf Path Counseling Mental Health CurrentSince Jan 21, 2022 Accepting new patients

Locations

624 Vienna Ave
Niles, OH 44446
Phone (330) 349-4065

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637452800000",
    "number": "1871973115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 LAIRD AVE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836026",
            "telephone_number": "234-806-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 LAIRD AVE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836026",
            "telephone_number": "234-806-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "DANIEL",
        "middle_name": "M",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1901106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.