Individual provider Active NPI

Althea Duren

  • Professional Counselor
  • Tamarac, FL
National Provider Identifier
1013616713
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
690339 Issued in FL
Practice address
8380 Lagos de Campo Blvd Apt 201
Tamarac, FL 33321-8512
Phone
(786) 553-8955
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 690339 FL Primary

Addresses

Primary practice location

8380 Lagos de Campo Blvd Apt 201
Tamarac, FL 33321-8512

Mailing address

8380 Lagos de Campo Blvd Apt 201
Tamarac, FL 33321-8512
Phone (786) 553-8955

Other identifiers 1

IdentifierTypeStateIssuer
690339OtherFLFLORIDA DEPARTMENT OF EDUCATION CERTIFICATE

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
690339FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
L.a.B. Productions, Inc. CurrentSince Mar 5, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1013616713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 LAGOS DE CAMPO BLVD APT 201",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333218512",
            "telephone_number": "786-553-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 LAGOS DE CAMPO BLVD APT 201",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333218512",
            "telephone_number": "786-553-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUREN",
        "first_name": "ALTHEA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "690339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF EDUCATION CERTIFICATE",
            "identifier": "690339",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.