Individual provider Active NPI

Robin Lanae Duran, M.S.

  • Professional Counselor
  • Clinton, AR
National Provider Identifier
1124277876
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1511127 Issued in AR
Practice address
770 Yellowjacket LN
Clinton, AR 72031
Phone
(501) 365-3022
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AR
Professional Counselor 101YP2500X P1511127 AR Primary

Addresses

Primary practice location

770 Yellowjacket LN
Clinton, AR 72031

Mailing address

1600 Aldersgate Rd Ste 200
Little Rock, AR 72205-6676
Phone (501) 661-0720

Other practice location 1

110 Skyline Dr
Russellville, AR 72801-3362
Phone (479) 967-5570

Other practice location 2

110 Skyline Dr
Russellville, AR 72801-3362
Phone (479) 967-5570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250923002052 AR Practitioner - Mental Health Counselor 8325543234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Counseling and Psychological Services PLLC 30 clinicians

Practice addresses (Care Compare)

855 S German LN
Suite 1
Conway, AR 72034-6479
Phone (501) 358-6606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
P1511127ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Counseling & Psychological Services, PLLC Professional CurrentSince Sep 1, 2025 Accepting new patients

Locations

855 S German Ln
Ste 1
Conway, AR 72034
Phone (501) 358-6606

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1124277876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ALDERSGATE RD STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056676",
            "telephone_number": "501-661-0720",
            "fax_number": "501-325-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 YELLOWJACKET LN",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "72031",
            "telephone_number": "501-365-3022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728013362",
            "country_code": "US",
            "telephone_number": "479-967-5570",
            "fax_number": "479-890-5364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728013362",
            "country_code": "US",
            "telephone_number": "479-967-5570",
            "fax_number": "479-890-5364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURAN",
        "first_name": "ROBIN",
        "middle_name": "LANAE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1511127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, AR

Sources for this page

Verify at the official NPI Registry.