Individual provider Active NPI

John Michael Duffey I, ABD, MACC

  • Professional Counselor
  • Phenix City, AL
National Provider Identifier
1033664784
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3406 Issued in AL
Practice address
5009 Riverchase Dr Ste 100a
Phenix City, AL 36867-7497
Phone
(334) 408-4689
Fax
(334) 408-2100
NPI assigned
Aug 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 3406 AL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 3406 AL
Professional Counselor 101YP2500X 3406 AL Primary

Addresses

Primary practice location

5009 Riverchase Dr Ste 100a
Phenix City, AL 36867-7497

Mailing address

5009 Riverchase Dr Ste 100a
Phenix City, AL 36867-7497
Phone (334) 408-4689

Other practice location 1

86 Lee Road 556
Phenix City, AL 36867-0931
Phone (334) 200-1435

Other names 1

  • John Michael Duffey Sr. Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3406ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Institute for Behavioral Health, P.C. Mental Health Current Accepting new patients
John M. Duffey PastSince Dec 1, 2020 Accepting new patients

Locations

5009 Riverchase Dr
Ste 100A
Phenix City, AL 36867
Phone (334) 408-4689

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": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1033664784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 RIVERCHASE DR STE 100A",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677497",
            "telephone_number": "334-408-4689",
            "fax_number": "334-408-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 RIVERCHASE DR STE 100A",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677497",
            "telephone_number": "334-408-4689",
            "fax_number": "334-408-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 Lee Road 556",
            "address_purpose": "LOCATION",
            "city": "Phenix City",
            "state": "AL",
            "postal_code": "368670931",
            "country_code": "US",
            "telephone_number": "334-200-1435",
            "fax_number": "334-200-1435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFFEY",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_suffix": "I",
        "credential": "ABD, MACC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-23",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "3406",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3406",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "DUFFEY",
            "middle_name": "MICHAEL",
            "suffix": "SR.",
            "credential": "MAC, NCC, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.