Individual provider Active NPI

John Durden, MSW

  • Mental Health Counselor
  • Malta, NY
National Provider Identifier
1003334285
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
098976 Issued in NY
Practice address
2452 Route 9, Suite 206
Malta, NY 12020
Phone
(518) 292-5433
Fax
(518) 899-4930
NPI assigned
Sep 7, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Parsons Child and Family Center 10 clinicians

Practice addresses (Care Compare)

2452 Route 9
Suite 206
Mechanicville, NY 12118-3024
Phone (518) 292-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240424001844 NY Practitioner - Clinical Social Worker 0648610659 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
098976NYMDInternal Medicine Physician

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 098976 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

2452 Route 9, Suite 206
Malta, NY 12020

Mailing address

23 Kaatskill Way
Ballston Spa, NY 12020-3002
Phone (518) 369-9308

Other practice location 1

ShelterCare 499 W. 4th Avenue
Eugene, OR 97401
Phone (541) 686-1262

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2022.

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1003334285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 KAATSKILL WAY",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203002",
            "telephone_number": "518-369-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 ROUTE 9, SUITE 206",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-292-5433",
            "fax_number": "518-899-4930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "ShelterCare 499 W. 4th Avenue",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "97401",
            "country_code": "US",
            "telephone_number": "541-686-1262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURDEN",
        "first_name": "JOHN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "098976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malta, NY

Sources for this page

Verify at the official NPI Registry.