Active NPI
Charlene Duncan
- Marriage & Family Therapist
- Fairfield, CA
National Provider Identifier
1356014898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1745 Enterprise Dr BLDG 2
Fairfield, CA 94533-5801 - Phone
- (707) 408-4223
- NPI assigned
- Jul 30, 2021
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1745 Enterprise Dr BLDG 2
Fairfield, CA 94533-5801
Mailing address
1745 Enterprise Dr BLDG 2
Fairfield, CA 94533-5801
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cduncan@aldeainc.org | Direct | |
| Direct Messaging Address | charlene.duncan@agapeccan.info | Agape Counseling Center and Network |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aldea, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Napa, CA
- NPI 1386809911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697328000000",
"number": "1356014898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 ENTERPRISE DR BLDG 2",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945335801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 ENTERPRISE DR BLDG 2",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945335801",
"telephone_number": "707-408-4223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "CHARLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-30",
"last_updated": "2023-10-15",
"certification_date": "2023-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cduncan@aldeainc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "470 Chadbourne Rd",
"city": "Fairfield",
"state": "CA",
"country_code": "US",
"postal_code": "945349600",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "charlene.duncan@agapeccan.info",
"affiliation": "Y",
"affiliationName": "Agape Counseling Center and Network",
"address_1": "1745 Enterprise Dr Bldg 2",
"city": "Fairfield",
"state": "CA",
"country_code": "US",
"postal_code": "945335801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.