NPI 1003039017 · live from the CMS NPI Registry
Dan J Archer, M.S.
Counselor, Professional in Edmond, OK. National Provider Identifier 1003039017, active.
NPI record
| NPI | 1003039017 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 2801 E Memorial Rd Ste 102, Edmond, OK 73013 |
| Practice phone | 405-760-0242 |
| Enumerated | April 10, 2007 |
| Last updated | September 11, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | 2176 (OK) |
| Marriage & Family Therapist | 106H00000X | 759 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.