DANIEL CERVANTES (MA) – Mental Health Counselor, NPI 1033626601

DANIEL CERVANTES (MA) is a healthcare provider. based in Syracuse, Indiana. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA. They hold a License No. 39004284A (IN). The NPI Number for DANIEL CERVANTES (MA) is 1033626601

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL CERVANTES (MA)
NPI
1033626601
Phone
(574) 377-9857
Address
46 EMS D18 LN
Enumeration Date
4 January 2018
Last Update Date
25 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
5698125250
Group Practice PAC ID
9436138427
Professional Enrollment ID
I20231221002802
Address ID
IN472016855CO1075XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

893 MENTAL HEALTH COUNSELOR in IN

Provider Addresses for DANIEL CERVANTES (MA)

  • 46 EMS D18 LN

    SYRACUSE, IN 465677907

    Phone: (574) 377-9857

    Type: Mailing

  • 645 S ROGERS ST

    BLOOMINGTON, IN 474032353

    Phone: (812) 339-1691

    Type: Mailing

  • 1403 Tanager Dr

    Warsaw, IN 465802054

    Phone: (574) 377-9857

    Type: Location

  • 46 Ems D18 Ln

    Syracuse, IN 465677907

    Phone: (574) 377-9857

    Type: Location

  • 720 N MARR RD

    COLUMBUS, IN 472016660

    Phone: (812) 314-3400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231221002802IMental Health CounselorINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46567)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436138427View full group profile
NameSpecialtyState
Mental Health CounselorIN
-IN
-KY
-MI
Mental Health CounselorIN
-IN
-IN
Clinical Social WorkerIN
Clinical Social WorkerIN
Mental Health CounselorIN

Reviews

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Frequently asked questions

Can I cross-check DANIEL CERVANTES (MA) using NPI 1033626601?
NPI 1033626601 belongs to DANIEL CERVANTES (MA); compare other details if you need extra assurance.
Is DANIEL CERVANTES (MA) still an active registrant?
DANIEL CERVANTES (MA) carries an active NPI according to the public dataset.
What area of care is associated with DANIEL CERVANTES (MA)?
DANIEL CERVANTES (MA)'s record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DANIEL CERVANTES (MA)?
Travel planning: use Syracuse, Indiana as the reference point for DANIEL CERVANTES (MA), then confirm.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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