Active NPI
Daniel Mark Maki, MA, LMFT, LICSW
- Marriage & Family Therapist
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1183
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP66835 | Other | MN | HEALTHPARTNERS |
| 566903100 | Medicaid | MN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15471 | AZ | MD | Marriage & Family Therapist |
| 999-124 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Guidance Group Inc | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Duluth, MN
- NPI 1528470648
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.