MEDICARE: MR. DANIEL TODD GORRILL LMFT, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	4697	CO
2	106H00000X	Marriage & Family Therapist	1263	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942482328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL TODD GORRILL LMFT, LPC

Provider Business Mailing Address
First Line	:	5279 SUBURBAN DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80911-3126
Country	:	US
Telephone Number	:	719-327-2071
Fax Number	:

Provider Business Practice Location Address
First Line	:	6541 SPECKER AVE BLDG 1830
Second Line	:
City	:	FORT CARSON
State	:	CO
Zip	:	80913-4263
Country	:	US
Telephone Number	:	719-503-7070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2007
Last Update Date	:	08/05/2025

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