Active NPI
Danielle Kay Patton, LPC, LISAC
- Professional Counselor
- Glendale, AZ
National Provider Identifier
1962900050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-16415
- Practice address
- 6015 W Peoria Ave
Glendale, AZ 85302-1213 - Phone
- (623) 344-2861
- Fax
- (623) 344-4449
- NPI assigned
- Jan 24, 2018
- Last updated
- Jan 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-15033 | AZ | |
| Professional Counselor | 101YP2500X | LPC-16415 | AZ | Primary |
Addresses
Primary practice location
6015 W Peoria Ave
Glendale, AZ 85302-1213
Mailing address
6015 W Peoria Ave
Glendale, AZ 85302-1213
Phone (623) 344-2861
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-15033 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| LPC-16415 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1962900050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6015 W PEORIA AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853021213",
"telephone_number": "623-344-2861",
"fax_number": "623-344-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6015 W PEORIA AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853021213",
"telephone_number": "623-344-2861",
"fax_number": "623-344-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "DANIELLE",
"middle_name": "KAY",
"credential": "LPC, LISAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-24",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-15033",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-16415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.