Individual provider Active NPI

Patricia Sunshine Duggan, LCMCHA, LCASA,NCC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1003400201
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A16360 Issued in NC
Practice address
5135 Morganton Rd Ste 104
Fayetteville, NC 28314-1525
Phone
(910) 216-9256
NPI assigned
Feb 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 26781 NC
Mental Health Counselor 101YM0800X A16360 NC Primary

Addresses

Primary practice location

5135 Morganton Rd Ste 104
Fayetteville, NC 28314-1525

Mailing address

5718 Waterwood Dr
Fayetteville, NC 28314-1073
Phone (941) 914-2172

Other identifiers 1

IdentifierTypeStateIssuer
1003400201OtherNCNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A16360NCMDMental Health Counselor
26781NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Sunshine Duggan CurrentSince Aug 1, 2021 Accepting new patients
Milk & Honey Therapy Mental Health PastSince Apr 1, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1003400201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 WATERWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141073",
            "telephone_number": "941-914-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 MORGANTON RD STE 104",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141525",
            "telephone_number": "910-216-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "PATRICIA",
        "middle_name": "SUNSHINE",
        "credential": "LCMCHA, LCASA,NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "26781",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003400201",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.