DEZERAE DANIELS MA, LPC, NCC
NPI 1447936141
Counselor - Mental Health in Colorado Springs, CO

Active since June 26, 2023PECOS EnrolledAccepts Medicare Assignment
1235 LAKE PLAZA DR STE 130, COLORADO SPRINGS, CO 80906(719) 357-6175 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dezerae Daniels Ma, Lpc, Ncc NPPES

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

DEZERAE DANIELS MA, LPC, NCC (NPI 1447936141) is an individual mental health provider in Colorado Springs, Colorado, licensed in Colorado (LPC.0019491) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Colorado Springs, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1447936141
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEZERAE DANIELSCredential: MA, LPC, NCC
Location Address1235 LAKE PLAZA DR STE 130Colorado Springs, CO 80906-3581
Mailing Address11305 Cressman DrPeyton, CO 80831-6802 · (216) 513-1262
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 26, 2023
NPPES CertifiedJune 26, 2023
NPI 1447936141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CO · LPC.0019491
1235 LAKE PLAZA DR STE 130, Colorado Springs, CO 80906

Secondary Practice Location 1

Location 16475 Wall St Ste 150Colorado Springs, CO 80918-8374 · Phone (719) 357-6175

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

Dezerae Daniels Ma, Lpc, Ncc 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 ID749626745
PECOS Enrollment IDI20240313001174
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dezerae Daniels's NPI number?

The NPI number for Dezerae Daniels is 1447936141. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Dezerae Daniels located?

Dezerae Daniels practices at 1235 Lake Plaza Dr Ste 130, Colorado Springs, CO 80906. The listed phone number is (719) 357-6175.

What is Dezerae Daniels's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Dezerae Daniels enrolled in Medicare?

Yes. Dezerae Daniels is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dezerae Daniels was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.