Daniel Martin Hooley, LPC LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC-9153 Issued in ID

Practice address

9700 W State St
Star, ID 83669-5766

Phone

(503) 887-5168

NPI assigned

Jan 13, 2023

Last updated

Jan 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1982319919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 W STATE ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695766",
            "telephone_number": "503-887-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 W STATE ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695766",
            "telephone_number": "503-887-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOLEY",
        "first_name": "DANIEL",
        "middle_name": "MARTIN",
        "credential": "LPC LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6944",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-9153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15810840",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Star, ID
• Providers in Star, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.