Individual provider Active NPI

Mark Noel Durham, MA, LPC, NCC

  • Mental Health Counselor
  • Asheville, NC
National Provider Identifier
1306836960
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4179 Issued in NC
Practice address
15 Larchmont Rd
Asheville, NC 28804-2412
Phone
(828) 251-1027
Fax
(828) 251-1028
NPI assigned
Oct 25, 2005
Last updated
Feb 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4179 NC Primary

Addresses

Primary practice location

15 Larchmont Rd
Asheville, NC 28804-2412

Mailing address

64 Cisco Rd
Asheville, NC 28805-1338
Phone (828) 712-0366

Other identifiers 1

IdentifierTypeStateIssuer
1326ROtherNCBLUE CROSS BLUE SHIELD NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241105002494 NC Practitioner - Mental Health Counselor 4880128404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Larchmont Rd
Asheville, NC 28804-2412
Phone (828) 712-0366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4179NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
On the Mark CC, PLLC CurrentSince Sep 17, 2024 Accepting new patients

Locations

15 Larchmont Rd
Asheville, NC 28804
Phone (828) 279-5369

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1306836960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CISCO RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051338",
            "telephone_number": "828-712-0366",
            "fax_number": "828-251-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LARCHMONT RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288042412",
            "telephone_number": "828-251-1027",
            "fax_number": "828-251-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "MARK",
        "middle_name": "NOEL",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "1326R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.