DANIEL MICHAEL DWYER LPC
NPI 1023698982
Counselor - Professional in Saint Louis, MO

Q: What is Daniel Dwyer's NPI number?

The NPI number for Daniel Dwyer is 1023698982. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Q: What is Daniel Dwyer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Dwyer was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2021PECOS EnrolledAccepts Medicare Assignment

11166 TESSON FERRY RD STE 300, SAINT LOUIS, MO 63123(314) 898-0102(314) 842-2552 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2023, Aug 21, 2023, Apr 13, 2021 (3 updates tracked since 2021).

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About Daniel Michael Dwyer Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL MICHAEL DWYER LPC (NPI 1023698982) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2020043169) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023698982

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDANIEL MICHAEL DWYERCredential: LPC

Location Address11166 TESSON FERRY RD STE 300Saint Louis, MO 63123-6966

Mailing Address2650 Olive StSaint Louis, MO 63103-1489 · (314) 371-6500 · Fax (314) 371-6510

Phone(314) 898-0102

Fax(314) 842-2552

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 13, 2021

Last NPPES UpdateNovember 2, 20233 updates tracked since enumeration

NPPES CertifiedAugust 21, 2023

✔ NPI 1023698982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MO · 2020043169

11166 TESSON FERRY RD STE 300, Saint Louis, MO 63123

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Secondary Practice Location 1

Location 12650 Olive StSaint Louis, MO 63103-1489 · Phone (314) 371-6500 · Fax (314) 371-6510

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Michael Dwyer Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567810039

PECOS Enrollment IDI20231130000739

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA A JUNG LPC

Counselor (Professional)