Organization Active NPI

MMD Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stroudsburg, PA
National Provider Identifier
1114733912
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MMD COUNSELING SERVICES LLC
Practice address
586 Main St Ste 12
Stroudsburg, PA 18360-2178
Phone
(570) 534-4102
NPI assigned
Dec 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Marjorica Ducheine, LPC
Title
Director
Phone
(570) 534-4102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

586 Main St Ste 12
Stroudsburg, PA 18360-2178

Mailing address

586 Main St Ste 12
Stroudsburg, PA 18360-2178
Phone (570) 534-4102

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1114733912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 MAIN ST STE 12",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602178",
            "telephone_number": "570-534-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 MAIN ST STE 12",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602178",
            "telephone_number": "570-534-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMD COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "DUCHEINE",
        "authorized_official_first_name": "MARJORICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "570-534-4102",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.