Healthcare Provider Details

I. General information

NPI: 1972895811
Provider Name (Legal Business Name): DANIEL JOSEPH BERNHARDT MS, NCC, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2011
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14800 W MOUNTAIN VIEW BLVD STE 240
SURPRISE AZ
85374-2702
US

IV. Provider business mailing address

18605 W LUKE AVE
LITCHFIELD PARK AZ
85340-6219
US

V. Phone/Fax

Practice location:
  • Phone: 602-206-5437
  • Fax:
Mailing address:
  • Phone: 602-206-5437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC13565
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: