Active NPI
Roxana Duren, LHMC
- Mental Health Counselor
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH12232
- Practice address
- 3191 Harbor Blvd Ste a
Port Charlotte, FL 33952-6755 - Phone
- (941) 883-4518
- Fax
- (941) 391-5975
- NPI assigned
- Jan 18, 2015
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH12232 | FL | Primary |
Addresses
Primary practice location
3191 Harbor Blvd Ste a
Port Charlotte, FL 33952-6755
Mailing address
4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416
Phone (239) 236-8784
Other practice location 1
713 E Marion Ave Ste 139
Punta Gorda, FL 33950-3863
Phone (941) 257-8032
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | roxana.duren.1@4692.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3191 Harbor Blvd
Suite a
Port Charlotte, FL 33952-6755
Phone (941) 883-4518
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH12232 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonita Springs Retirement Village, Inc. | Current | Accepting new patients | |
| Dna Comprehensive Therapy Services, LLC | Mental Health | Current | Accepting new patients |
Locations
4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916
3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555
5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Myers, FL
- NPI 1316363757
-
- Skilled Nursing Facility
- Bonita Springs, FL
- NPI 1700126802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1336538024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 METRO PKWY STE 205",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339169416",
"telephone_number": "239-236-8784",
"fax_number": "239-790-2624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3191 HARBOR BLVD STE A",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339526755",
"telephone_number": "941-883-4518",
"fax_number": "941-391-5975"
}
],
"practiceLocations": [
{
"address_1": "713 E Marion Ave Ste 139",
"address_purpose": "LOCATION",
"city": "Punta Gorda",
"state": "FL",
"postal_code": "339503863",
"country_code": "US",
"telephone_number": "941-257-8032",
"fax_number": "941-766-1511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUREN",
"first_name": "ROXANA",
"credential": "LHMC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-18",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH12232",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "roxana.duren.1@4692.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct address",
"address_1": "713 E Marion Ave Ste 139",
"city": "Punta Gorda",
"state": "FL",
"country_code": "US",
"postal_code": "339503863",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.