Individual provider Active NPI

Mary Durand, LPC

  • Professional Counselor
  • Greenfield, WI
National Provider Identifier
1336690353
Registry record updated May 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6137-125 Issued in WI
Practice address
10777 W Beloit Rd
Greenfield, WI 53228-1225
Phone
(414) 404-5090
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6137-125 WI Primary

Addresses

Primary practice location

10777 W Beloit Rd
Greenfield, WI 53228-1225

Mailing address

4542 W Midland Dr
Milwaukee, WI 53219-4840
Phone (262) 716-4869

Other practice location 1

5555 N Port Washington Rd Suite 207
Glendale, WI 53217
Phone (877) 300-9101

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Greenfield Direct

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

LicenseStateTypeSpecialty
6137-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grey Matters Counseling LLC CurrentSince May 24, 2020 Accepting new patients
Rawhide Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589587200000",
    "number": "1336690353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 W MIDLAND DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532194840",
            "telephone_number": "262-716-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10777 W BELOIT RD",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532281225",
            "telephone_number": "414-404-5090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 N Port Washington Rd Suite 207",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "WI",
            "postal_code": "53217",
            "country_code": "US",
            "telephone_number": "877-300-9101",
            "fax_number": "920-982-5054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURAND",
        "first_name": "MARY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2020-05-16",
        "certification_date": "2020-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6137-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenfield",
            "affiliation": "N",
            "endpointDescription": "graymatterscounselingllc.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10777 W Beloit Rd",
            "city": "Greenfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532281225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.