Sandra J Duecker, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39000826A Issued in IN

Practice address

101 S Washington St
Suite 200
Marion, IN 46952-3867

Phone

(765) 662-9971

Fax

(765) 651-6563

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grant-Blackford Mental Health, Inc.

  dba Radiant Health Services

  • Community/Behavioral Health Agency
  • Marion, IN
  • NPI 1407848500
  NPD
• Grant-Blackford Mental Health, Inc.

  dba Radiant Health Services

  • Community/Behavioral Health Agency
  • Marion, IN
  • NPI 1437983103
  NPD
• Family Service Society Inc

  • Community/Behavioral Health Agency
  • Marion, IN
  • NPI 1780734806
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306990437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S WASHINGTON ST",
            "address_2": "SUITE 200",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523867",
            "telephone_number": "765-662-9971",
            "fax_number": "765-651-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WASHINGTON ST",
            "address_2": "SUITE 200",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523867",
            "telephone_number": "765-662-9971",
            "fax_number": "765-651-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUECKER",
        "first_name": "SANDRA",
        "middle_name": "J",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000826A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen R Drake, RPH
• Mary Rose Draper, MSW, LCSW
• Susan Draves, NP
• Bernard B Dreiman, D.D.S.
• Alyssa Drewer, RBT
• Trisha Lee Duffy, M.A.
• Peggy Ann Dulhanty
• Zachary Dean Dunbar
• Eric Lee Dungan, MSSW
• Lisa Dunham, RN

• Mental Health Counselor in Marion, IN
• Providers in Marion, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.