Individual provider Active NPI

Stephen Ray Duran

  • Counselor
  • Farmington, NM
National Provider Identifier
1053238378
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CTB20260779 Issued in NM
Practice address
1009 Ridgeway PL
Farmington, NM 87401-2092
Phone
(505) 402-6886
NPI assigned
Jun 30, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Case Manager/Care Coordinator 171M00000X NM
Counselor 101Y00000X CTB20260779 NM Primary

Addresses

Primary practice location

1009 Ridgeway PL
Farmington, NM 87401-2092

Mailing address

1009 Ridgeway PL
Farmington, NM 87401-2092
Phone (505) 402-6886

Other practice location 1

1300 E 20th St
Farmington, NM 87401-9022
Phone (505) 402-6886

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

NPI Registry JSON

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1053238378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 RIDGEWAY PL",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012092",
            "telephone_number": "505-402-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 RIDGEWAY PL",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012092",
            "telephone_number": "505-402-6886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 E 20th St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874019022",
            "country_code": "US",
            "telephone_number": "505-402-6886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURAN",
        "first_name": "STEPHEN",
        "middle_name": "RAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "CTB20260779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.