Active NPI
Dana Jelynn Hardison-Duke, MA, LCMHC, NCC
- Professional Counselor
- New Bern, NC
National Provider Identifier
1124621230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16125
- Practice address
- 3012 Trent Rd #6
New Bern, NC 28562-5735 - Phone
- (256) 349-8430
- Fax
- (252) 513-5073
- NPI assigned
- Nov 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 16125 | NC | |
| Professional Counselor | 101YP2500X | 16125 | NC | Primary |
Addresses
Primary practice location
3012 Trent Rd #6
New Bern, NC 28562-5735
Mailing address
608 Lilliput Dr
New Bern, NC 28562-9067
Phone (256) 349-8430
Other practice location 1
318 E Main St
Havelock, NC 28532-2214
Phone (256) 349-8430
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124621230 | Medicaid | NC | |
| A16125 | Other | NC | NORTH CAROLINA BOARD OF CLINICAL MENTAL HEALTH COUNSELORS |
| 1532630 | Other | NC | NATIONAL BOARD OF CERTIFIED COUNSELORS |
| 16125 | Other | NC | NORTH CAROLINA BOARD OF CLINICAL MENTAL HEALTH COUNSELORS |
Other names 1
- Dana Duke
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16125 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickinson Psychological Services PA | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Havelock, NC
- NPI 1417115429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1124621230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 LILLIPUT DR",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285629067",
"telephone_number": "256-349-8430",
"fax_number": "252-513-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 TRENT RD #6",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625735",
"telephone_number": "256-349-8430",
"fax_number": "252-513-5073"
}
],
"practiceLocations": [
{
"address_1": "318 E Main St",
"address_purpose": "LOCATION",
"city": "Havelock",
"state": "NC",
"postal_code": "285322214",
"country_code": "US",
"telephone_number": "256-349-8430",
"fax_number": "252-513-5073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARDISON-DUKE",
"first_name": "DANA",
"middle_name": "JELYNN",
"name_prefix": "Ms.",
"credential": "MA, LCMHC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "16125",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "16125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124621230",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA BOARD OF CLINICAL MENTAL HEALTH COUNSELORS",
"identifier": "A16125",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD OF CERTIFIED COUNSELORS",
"identifier": "1532630",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA BOARD OF CLINICAL MENTAL HEALTH COUNSELORS",
"identifier": "16125",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "DUKE",
"credential": "MA, LCMHC, NCC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.