Individual provider Active NPI

Daniel Mark Maki, MA, LMFT, LICSW

  • Marriage & Family Therapist
  • Duluth, MN
National Provider Identifier
1962596825
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1183 Issued in MN
Practice address
222 E Superior St Ste 302
Duluth, MN 55802-2277
Phone
(218) 576-5757
Fax
(844) 576-5767
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 23948 MN
Marriage & Family Therapist 106H00000X 15471 AZ
Marriage & Family Therapist 106H00000X 999-124 WI
Marriage & Family Therapist 106H00000X 1183 MN Primary

Addresses

Primary practice location

222 E Superior St Ste 302
Duluth, MN 55802-2277

Mailing address

PO Box 161462
Duluth, MN 55816-1462
Phone (218) 576-5757

Other practice location 1

230 1st St S Ste 110
Virginia, MN 55792-2670
Phone (218) 288-6001 ext. 1010

Other practice location 2

219 4th Ave W
Ashland, WI 54806-1523
Phone (715) 979-5239 ext. 1010

Other identifiers 2

IdentifierTypeStateIssuer
HP66835OtherMNHEALTHPARTNERS
566903100MedicaidMN

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
15471AZMDMarriage & Family Therapist
999-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Group Inc CurrentSince Jun 1, 2019 Accepting new patients

Locations

222 E Superior St
Ste 302
Duluth, MN 55802
Phone (218) 576-5757

230 1st St S
Ste 110
Virginia, MN 55792
Phone 2182886001 ext. 1010

219 4th Ave W
Ashland, WI 54806
Phone 7159795239 ext. 1010

Organizations & group practices 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1962596825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161462",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558161462",
            "telephone_number": "218-576-5757",
            "fax_number": "844-576-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E SUPERIOR ST STE 302",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022277",
            "telephone_number": "218-576-5757",
            "fax_number": "844-576-5767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 1st St S Ste 110",
            "address_purpose": "LOCATION",
            "city": "Virginia",
            "state": "MN",
            "postal_code": "557922670",
            "country_code": "US",
            "telephone_number": "218-288-6001 x1010",
            "fax_number": "833-248-8484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 4th Ave W",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "WI",
            "postal_code": "548061523",
            "country_code": "US",
            "telephone_number": "715-979-5239 x1010",
            "fax_number": "833-239-2929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKI",
        "first_name": "DANIEL",
        "middle_name": "MARK",
        "credential": "MA, LMFT, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23948",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "15471",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "999-124",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP66835",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "566903100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.