Dezerae Daniels, MA, LPC, NCC in Colorado Springs, CO

Dezerae Daniels, MA, LPC, NCC is a medicare enrolled "Counselor - Mental Health" provider in Colorado Springs, Colorado. Her current practice location is 1235 Lake Plaza Dr Ste 130, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 357-6175.

Dezerae Daniels is licensed to practice in Colorado (license number LPC.0019491) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447936141.

Contact Information

	Dezerae Daniels, MA, LPC, NCC
	1235 Lake Plaza Dr Ste 130, Colorado Springs, CO 80906-3581
	(719) 357-6175
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dezerae Daniels
Gender	Female
Speciality	Counselor - Mental Health
Location	1235 Lake Plaza Dr Ste 130, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447936141
Provider Enumeration Date: 06/26/2023
Last Update Date: 06/26/2023

Medicare PECOS Information:

PECOS PAC ID: 0749626745
Enrollment ID: I20240313001174

Medical Identifiers

Medical identifiers for Dezerae Daniels such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447936141	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC.0019491 (Colorado)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dezerae Daniels allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dezerae Daniels is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dezerae Daniels, MA, LPC, NCC 11305 Cressman Dr, Peyton, CO 80831-6802 Ph: (216) 513-1262	Dezerae Daniels, MA, LPC, NCC 1235 Lake Plaza Dr Ste 130, Colorado Springs, CO 80906-3581 Ph: (719) 357-6175

Reviews and Comments

Counselor in Colorado Springs, CO

Elizabeth Anne Beck, LPC CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 2790 N Academy Blvd, Suite 206, Colorado Springs, CO 80917 Phone: 719-596-1530 Fax: 719-559-1130
Andrea Wood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Gold Pass Hts, Colorado Springs, CO 80906 Phone: 719-205-2671 Fax: 719-632-2342
Norma Dejesus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 179 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6300
Sheila Kelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Parkside Dr, Colorado Springs, CO 80910 Phone: 719-572-6340
Robert B. Wenzel, M.A. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4360 Montebello Dr Ste 400, Colorado Springs, CO 80918 Phone: 719-593-9228 Fax: 719-598-1705
Dawn Zink, MA LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4975 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-301-5488
Melissa Beth Smart, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1330 Inverness Dr Ste 400, Colorado Springs, CO 80910 Phone: 970-310-3406

Dezerae Daniels, MA, LPC, NCC - Medicare Counselor in Colorado Springs, CO