The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Newton and Kansas

4 active clinicians are listed under Counselor - Mental Health with a practice address in Newton, KS (737 in Kansas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-08-27

Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES KS LPC05540

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kansas State Medical Licensing Board.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events

📍

Updated Practice Location August 27, 2026

Registered at 500 N MAIN ST STE 156&215, NEWTON, KS 671142200 (Tel: 3162024414)

📍

Updated Business Mailing Address August 27, 2026

Registered at 500 N MAIN ST STE 156&215, NEWTON, KS 671142200 (Tel: 3162024414)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2026

Counselor (license number reported to NPPES: KS LPC05540)

📍

Updated Business Mailing Address October 13, 2021

Registered at 2325 S HARVARD AVE, TULSA, OK 741143300 (Tel: 3163718945)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2021

Case Manager/Care Coordinator

✅

NPI Profile Active March 28, 2016

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) March 28, 2016

Registered at 1312 17TH ST, SUITE 146, DENVER, CO 802021508 (Tel: 7209827888)

📍

Business Mailing Address (Initial Record) March 28, 2016

Registered at 4801 S WADSWORTH BLVD, APT 5-205, LITTLETON, CO 801231370 (Tel: 3163718945)

👤

Provider Name / Credentials (Initial Record) March 28, 2016

Recorded as SEAN O'DANIEL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2016

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 28, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912369026

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 28, 2016

Last Update: August 27, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

500 N Main St Ste 156&215

Newton, KS 671142200

Phone: 3162024414

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.