Active NPI
Jeff Duncan
- Professional Counselor
- Bradenton, FL
National Provider Identifier
1316567258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18438
- Practice address
- 1450 59TH St W Ste 101
Bradenton, FL 34209-4601 - Phone
- (941) 729-6600
- NPI assigned
- Apr 21, 2020
- Sex
- Male
- 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 | 18438 | FL | Primary |
Addresses
Primary practice location
1450 59TH St W Ste 101
Bradenton, FL 34209-4601
Mailing address
7810 34TH Ave W Unit 203
Bradenton, FL 34209-5895
Phone (404) 227-1441
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18438 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587427200000",
"number": "1316567258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7810 34TH AVE W UNIT 203",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342095895",
"telephone_number": "404-227-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 59TH ST W STE 101",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342094601",
"telephone_number": "941-729-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "JEFF",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-21",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "18438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.