Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Fowler

Individual provider Professional Counselor · NPI 1710365580

Daniel Fowler is a Mental Health Counselor in Lawrenceburg, Tennessee. Qualified in 2018, 8 years ago. Practices with Ultra Health LLC, a 162-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Licensed in
TN
In the registry since
2015
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Practice location Address checks out

129 N Locust Ave
Lawrenceburg, TN 38464-3757
Phone: (931) 762-7232
Fax: (931) 762-7234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 45 Addimack Cv, Bells, TN 38006-2400 — (731) 961-1796

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6295 (TN)

Record details

NPI number1710365580
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 13, 2015
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025
Mailing address45 Addimack Cv, Bells, TN 38006-2400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ultra Health Llc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lawrenceburg