Kris Tina Mcdaniel
Counselor • Meridian, ID
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kris Mcdaniel has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kris Mcdaniel was a registered Counselor practicing in Meridian, ID. Throughout an active medical career spanning 3 years, Kris Mcdaniel provided care at the practice location at 2863 E LUCCA DR until profile deactivation on 2024-10-23.
Practice Location & Contact Primary Location
2863 E Lucca Dr
Meridian, ID 836423011
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Meridian, ID
Practicing in Meridian, ID (507 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 23, 2024
Registered at 1859 S TOPAZ WAY #102, MERIDIAN, ID 836423011 (Tel: 2085195041)
NPI status registered as active in NPPES database
Registered at 2863 E LUCCA DR, MERIDIAN, ID 836423011 (Tel: 2084407676)
Registered at 2863 E LUCCA DR, MERIDIAN, ID 836423011 (Tel: 2084407676)
Recorded as KRIS MCDANIEL
Counselor (License #LC-4041 in ID)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2863 E Lucca Dr
Meridian, ID 836423011
Phone: 2084407676
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