MR. DANIEL ANDREW SELOCK MS/CADC/LCPC
NPI 1891872362
Counselor - Professional in Goreville, IL

Active since November 01, 2006PECOS Enrolled
70 SANDY PT, GOREVILLE, IL 62939(618) 889-3987(618) 351-1419 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Daniel Andrew Selock Ms/cadc/lcpc NPPES

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

MR. DANIEL ANDREW SELOCK MS/CADC/LCPC (NPI 1891872362) is an individual professional provider in Goreville, Illinois, licensed in Illinois (180006639) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1891872362
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. DANIEL ANDREW SELOCKCredential: MS/CADC/LCPC
Location Address70 SANDY PTGoreville, IL 62939-3122
Mailing Address70 Sandy PtGoreville, IL 62939-3122 · (618) 889-3987
Fax(618) 351-1419
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 1, 2006
Last NPPES UpdateDecember 5, 2025
NPPES CertifiedDecember 5, 2025
NPI 1891872362 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 IL · 180006639
70 SANDY PT, Goreville, IL 62939

Secondary Practice Locations 2

Location 12001 Philo RdUrbana, IL 61802-8007 · Phone (217) 398-9066 · Fax (217) 398-9077
Location 2105 S. 8th St.Mattoon, IL 61953 · Phone (217) 398-9066 · Fax (217) 398-9077

Other Identifiers 3

Other180006639IL · State License, Lcpc
Other03932079IL · Blue Cross Blue Shield
Other11826508IL · Caqh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Daniel Andrew Selock Ms/cadc/lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335625441
PECOS Enrollment IDI20260108002064
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

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

Counselor (Professional)
70 SANDY PT
GOREVILLE, IL 62939

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 Daniel Selock's NPI number?

The NPI number for Daniel Selock is 1891872362. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Daniel Selock located?

Daniel Selock practices at 70 Sandy Pt, Goreville, IL 62939. The listed phone number is (618) 889-3987.

What is Daniel Selock's specialty?

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

Is Daniel Selock enrolled in Medicare?

Yes. Daniel Selock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Selock was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.