Individual provider Active NPI

Daniel Enselman, LMHC, CDP

  • Mental Health Counselor
  • Anacortes, WA
National Provider Identifier
1972976199
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60840470 Issued in WA
Practice address
8212 S. March Point Road
Anacortes, WA 98221
Phone
(360) 588-2800
Fax
(366) 588-2808
NPI assigned
Nov 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MC 60644116 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X CO 60569345 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60712530 WA
Mental Health Counselor 101YM0800X LH60840470 WA Primary

Addresses

Primary practice location

8212 S. March Point Road
Anacortes, WA 98221

Mailing address

8212 S March Point Rd
Anacortes, WA 98221-8684
Phone (360) 588-2800

Other identifiers 2

IdentifierTypeStateIssuer
LH60840470MedicaidWA
CP60712530MedicaidWA

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

LicenseStateTypeSpecialty
MC 60644116WAMDCounselor
CO 60569345WAMDAddiction (Substance Use Disorder) Counselor
CP60712530WAMDAddiction (Substance Use Disorder) Counselor
LH60840470WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dan Enselman LLC Addiction (Substance Use Disorder) CurrentSince Mar 19, 2023 Accepting new patients
Swinomish Health Services PastSince Apr 5, 2020 Accepting new patients
Swinomish Health Services PastSince Oct 4, 2020 Accepting new patients

Locations

1229 Cornwall Ave
Ste 204
Bellingham, WA 98225
Phone (360) 594-8348

Organizations & group practices 3

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": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1972976199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 S MARCH POINT RD",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982218684",
            "telephone_number": "360-588-2800",
            "fax_number": "366-588-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 S. MARCH POINT ROAD",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "98221",
            "telephone_number": "360-588-2800",
            "fax_number": "366-588-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSELMAN",
        "first_name": "DANIEL",
        "credential": "LMHC, CDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-10",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC 60644116",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO 60569345",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60712530",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60840470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LH60840470",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CP60712530",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.