Individual provider Active NPI

James Marion Del Duca III, LAC-CANDIDATE

  • Addiction (Substance Use Disorder) Counselor
  • Bozeman, MT
National Provider Identifier
1124531785
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
BBH-ACLC-LIC-14219 Issued in MT
Practice address
333 Haggerty LN Ste 2
Bozeman, MT 59715-1780
Phone
(406) 599-2463
NPI assigned
Nov 6, 2017
Last updated
Nov 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X BBH-ACLC-LIC-14219 MT Primary
Pastoral Counselor 101YP1600X NU
Psychoanalyst 102L00000X NU

Addresses

Primary practice location

333 Haggerty LN Ste 2
Bozeman, MT 59715-1780

Mailing address

333 Haggerty LN Ste 2
Bozeman, MT 59715-1780
Phone (406) 599-2463

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
BBH-ACLC-LIC-14219MTMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1124531785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 HAGGERTY LN STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597151780",
            "telephone_number": "406-599-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 HAGGERTY LN STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597151780",
            "telephone_number": "406-599-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL DUCA",
        "first_name": "JAMES",
        "middle_name": "MARION",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LAC-CANDIDATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-ACLC-LIC-14219",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.