Jeffrey Scott McDaniel, CADC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

232-03-10697 Issued in OR

Practice address

333 NW 4TH Ave Apt 519
Portland, OR 97209-3965

Phone

(406) 431-2539

NPI assigned

Apr 18, 2023

Last updated

Apr 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1952098220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NW 4TH AVE APT 519",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093965",
            "telephone_number": "406-431-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NW 4TH AVE APT 519",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093965",
            "telephone_number": "406-431-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "CADC I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "232-03-10697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah McCurley-Kemp
• Christina Beth McCusker, RN
• Margaret McCusker, DO
• Patricia McCusker
• Kalli Sol McDade
• Maximilian M McDaniel, MA, QMHP
• Morgan McDaniel, PT
• Nicole Marie McDaniel, PT
• Philip L McDaniel, M.D.
• Richelle Nicole McDaniel, RN

• Addiction (Substance Use Disorder) Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.