Active NPI
Susan Cromwell Duncan, M.S., PHD
- Professional Counselor
- Bastrop, TX
National Provider Identifier
1306197157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69616
- Practice address
- 909 Pecan St
Bastrop, TX 78602-3819 - Phone
- (512) 321-7334
- NPI assigned
- Sep 19, 2012
- 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 | 69616 | TX | Primary |
Addresses
Primary practice location
909 Pecan St
Bastrop, TX 78602-3819
Mailing address
909 Pecan Street
Bastrop, TX 78602-3819
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 Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69616 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1306197157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 PECAN STREET",
"city": "BASTROP",
"state": "TX",
"postal_code": "786023819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 PECAN ST",
"city": "BASTROP",
"state": "TX",
"postal_code": "786023819",
"telephone_number": "512-321-7334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "SUSAN",
"middle_name": "CROMWELL",
"name_prefix": "Dr.",
"credential": "M.S., PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bastrop, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.