DAELYNN M PHARES MS, LPC-IT
NPI 1689495095
Counselor - Mental Health in Portage, WI

Q: What is Daelynn Phares's NPI number?

The NPI number for Daelynn Phares is 1689495095. It was assigned to this individual provider in the NPPES registry on October 18, 2024. The provider is also known as Daelynn M Butzler.

Q: What is Daelynn Phares's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Daelynn Phares was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 October 18, 2024PECOS Enrolled

2901 HUNTERS TRL, PORTAGE, WI 53901(608) 742-5518(608) 268-9780 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Daelynn M Phares Ms, Lpc-it NPPES

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

DAELYNN M PHARES MS, LPC-IT (NPI 1689495095) is an individual mental health provider in Portage, Wisconsin, licensed in Wisconsin (2438-226) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689495095

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameDAELYNN M PHARESCredential: MS, LPC-IT

Location Address2901 HUNTERS TRLPortage, WI 53901-3403

Mailing AddressPo Box 301Portage, WI 53901-0301 · (608) 742-5518 · Fax (608) 268-9780

Phone(608) 742-5518

Fax(608) 268-9780

Sole ProprietorNo

Enumeration DateOctober 18, 2024

NPPES CertifiedOctober 18, 2024

✔ NPI 1689495095 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 WI · 2438-226

2901 HUNTERS TRL, Portage, WI 53901

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Other Names 1

Former Name (1)Daelynn M Butzler

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daelynn M Phares Ms, Lpc-it is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

SUSAN I QUIRICONI MSW CICSW

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