Active NPI
Patricia Duncan, L.P.C.C.
- Professional Counselor
- San Rafael, CA
National Provider Identifier
1295144335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC351
- Practice address
- 830 5TH Ave
San Rafael, CA 94901-3254 - Phone
- (415) 250-6106
- NPI assigned
- Aug 2, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC351 | CA | Primary |
Addresses
Primary practice location
830 5TH Ave
San Rafael, CA 94901-3254
Mailing address
17A Oliva Dr
Novato, CA 94947-2150
Phone (415) 250-6106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 27, 2024 through Jan 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC351 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406937600000",
"number": "1295144335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17A OLIVA DR",
"city": "NOVATO",
"state": "CA",
"postal_code": "949472150",
"telephone_number": "415-250-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 5TH AVE",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949013254",
"telephone_number": "415-250-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "PATRICIA",
"credential": "L.P.C.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-02",
"last_updated": "2014-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPC351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.