Eric Rene Daniels I, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP 60235877 Issued in WA

Practice address

1116 Summit Ave
Seattle, WA 98101-2831

Phone

(206) 323-0930

NPI assigned

Mar 22, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Eric Rene Daniels I Former name

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": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1992071054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24624 101ST PL SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305174",
            "telephone_number": "206-323-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 SUMMIT AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012831",
            "telephone_number": "206-323-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "ERIC",
        "middle_name": "RENE",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP 60235877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "DANIELS",
            "middle_name": "RENE",
            "prefix": "MR.",
            "suffix": "I",
            "credential": "CDP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Daniels, CL60691652
• Andrew Daniels
• Arianna Daniels
• Dominique Daniels
• Elisabeth Daniels, R.D.
• Jacob Daniels
• Jacqueline Daniels, MA, CCC-SLP, CBIS
• Jennifer Christine Daniels, ND, ARNP
• Joe Daniels
• Julie Daniels, OTR/L

• Addiction (Substance Use Disorder) Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.