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

Daniel Jl Ingersoll, SUDCC-IICS

Individual provider Counselor · NPI 1154023497

Daniel Jl Ingersoll, SUDCC-IICS is a Counselor in Los Angeles, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
3

Practice location Address checks out

2201 Parnell Ave
Los Angeles, CA 90064-2004
Phone: (310) 560-3794
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 424 Christopher Ct, Ridgecrest, CA 93555-6009 — (760) 428-6389

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 11533 (CA)
Counselor Taxonomy 101Y00000X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1154023497
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDCC-IICS
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

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