Individual provider Active NPI

Timothy Lucas Duran, LPC-A

  • Counselor
  • Del Rio, TX
National Provider Identifier
1336965995
Registry record updated Nov 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
95960 Issued in TX
Practice address
105 Lookout Dr
Del Rio, TX 78840-2136
Phone
(830) 313-2787
NPI assigned
Nov 28, 2024
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 95960 TX Primary

Addresses

Primary practice location

105 Lookout Dr
Del Rio, TX 78840-2136

Mailing address

105 Lookout Dr
Del Rio, TX 78840-2136

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
95960TXMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732752000000",
    "number": "1336965995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LOOKOUT DR",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788402136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LOOKOUT DR",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788402136",
            "telephone_number": "830-313-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN",
        "first_name": "TIMOTHY",
        "middle_name": "LUCAS",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-11-28",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "95960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2024; 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.