Individual provider Active NPI

Dana Jelynn Hardison-Duke, MA, LCMHC, NCC

  • Professional Counselor
  • New Bern, NC
National Provider Identifier
1124621230
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16125 Issued in NC
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

Updated by the provider on Jun 4, 2024

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 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

IdentifierTypeStateIssuer
1124621230MedicaidNC
A16125OtherNCNORTH CAROLINA BOARD OF CLINICAL MENTAL HEALTH COUNSELORS
1532630OtherNCNATIONAL BOARD OF CERTIFIED COUNSELORS
16125OtherNCNORTH CAROLINA BOARD OF CLINICAL MENTAL HEALTH COUNSELORS

Other names 1

  • Dana Duke Professional name

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

LicenseStateTypeSpecialty
16125NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dickinson Psychological Services PA PastSince Oct 1, 2001 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.

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.

Verify at the official NPI Registry.