DAELYNN M PHARES MS LPC-IT NPI 1689495095

NPI Information

  • NPI: 1689495095
  • Provider Name: DAELYNN M PHARES, MS, LPC-IT
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2901 HUNTERS TRL
    PORTAGE, WI
    ZIP 53901
  • Phone: (608) 742-5518

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NPI Details

Daelynn M Phares, MS, LPC-IT is a mental health counselor in Portage, WI with 11 years of experience. Daelynn M Phares, MS, LPC-IT NPI is 1689495095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2901 HUNTERS TRL
PORTAGE, WI
ZIP 53901-403
Phone: (608) 742-5518
Fax: (608) 268-9780

The NPI 1689495095 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/18/2024 and was last updated on 10/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health2438-226WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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