Active NPI
John Durden, MSW
- Mental Health Counselor
- Malta, NY
National Provider Identifier
1003334285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 098976
- 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240424001844 | NY | Practitioner - Clinical Social Worker | 0648610659 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098976 | NY | MD | Internal Medicine Physician |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 098976 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.