=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548906308
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DANIELA OTOYA MA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/05/2022
-----------------------------------------------------
Last Update Date | 01/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1520 BELLE VIEW BLVD STE 5556
-----------------------------------------------------
City | ALEXANDRIA
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22307-6530
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-712-9265
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1520 BELLE VIEW BLVD STE 5556 SUITE 5556
-----------------------------------------------------
City | ALEXANDRIA
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22307-6530
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-404-3221
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 0701012752
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------