Patricia Danna-Premo, MS, LAC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18139 Issued in AZ

Practice address

1845 S Dobson Rd Ste 101
Mesa, AZ 85202-5662

Phone

(602) 844-5100

NPI assigned

May 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Patty Danna-Premo Other name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mind and Soul Counseling Services LLCGroup PAC ID 4486094083, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Mind & Soul Counseling Services LLC

  • Mental Health Counselor
  • Mesa, AZ
  • NPI 1962095927
  Medicare reassignment Care Compare group NPD
• Dapre

  • Mental Health Counselor
  • Chandler, AZ
  • NPI 1932032653
  NPD Authorized official

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1992360713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 E LOCUST PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862635",
            "telephone_number": "540-903-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 S DOBSON RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025662",
            "telephone_number": "602-844-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNA-PREMO",
        "first_name": "PATRICIA",
        "credential": "MS, LAC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "18139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATTY",
            "last_name": "DANNA-PREMO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leslie L Daniels, BSN, RN, NCSN
• Robin Daniels, CNM
• Shannon Brooke Daniels, NP
• Elizabeth Danielson, PH.D.
• Justine Morgan Danielson
• Dantal Dental Corporation
• Anh Dao, M.D.
• Linh H Dao, O.D.
• Tuongvi Nguyen Dao
• Uyen-Minh T Dao

• Mental Health Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Counselor in Arizona

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.