Danielle Medina, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC04030 Issued in KS

Practice address

307 Ridge St Ste 102
Tonganoxie, KS 66086-9310

Phone

(913) 845-6122

NPI assigned

Nov 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lifes Seasons LLC

  • Professional Counselor
  • Tonganoxie, KS
  • NPI 1073228532

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1942965322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 RIDGE CIR APT A",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660869317",
            "telephone_number": "870-279-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 RIDGE ST STE 102",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660869310",
            "telephone_number": "913-845-6122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1199 Ridge Cir Apt A",
            "address_purpose": "LOCATION",
            "city": "Tonganoxie",
            "state": "KS",
            "postal_code": "660869317",
            "country_code": "US",
            "telephone_number": "870-279-1104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "DANIELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KS",
            "license": "LPC03940-T",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "KS",
            "license": "3992621634",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "AR",
            "license": "5651054",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "LPC04030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel McSpadden
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• Douglas Paul Meyer, RPH
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• Mid Star Lab Inc
• Midwest Chiropractic Center, PA

• All providers in Tonganoxie, KS
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.