Healthcare Provider Details

I. General information

NPI: 1457288896
Provider Name (Legal Business Name): DANIEL CAMPOS MACHADO DA SILVA LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1137 NW SOUTH SHORE DR
KANSAS CITY MO
64151-1439
US

IV. Provider business mailing address

1137 NW SOUTH SHORE DR
KANSAS CITY MO
64151-1439
US

V. Phone/Fax

Practice location:
  • Phone: 310-699-0947
  • Fax:
Mailing address:
  • Phone: 310-699-0947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2026027188
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: