Mandi Renee Duggan, LMHC, LMFT, NCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14621 Issued in NC

Practice address

2 Stonebury Dr
Arden, NC 28704-6616

Phone

(561) 702-7482

Fax

(561) 828-7720

NPI assigned

Apr 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Miss Mandi Renee Sjogren Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1376718098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STONEBURY DR",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287046616",
            "telephone_number": "561-702-7482",
            "fax_number": "561-828-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STONEBURY DR",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287046616",
            "telephone_number": "561-702-7482",
            "fax_number": "561-828-7720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 Palm Beachs Lakes Blvd",
            "address_2": "Suite 1200",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334063340",
            "country_code": "US",
            "telephone_number": "561-702-7482",
            "fax_number": "561-828-7720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2324 S Congress Ave Ste 1F",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334067667",
            "country_code": "US",
            "telephone_number": "561-702-7482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Stonebury Dr",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287046616",
            "country_code": "US",
            "telephone_number": "561-702-7482",
            "fax_number": "561-828-7720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "MANDI",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LMHC, LMFT, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "14621",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8930",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61065584",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "2508",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2698",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHR",
            "affiliation": "Y",
            "endpointDescription": "Simple Practice",
            "affiliationName": "Mandi Duggan LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Stonebury Dr",
            "city": "Arden",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287046616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MANDI",
            "last_name": "SJOGREN",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "credential": "LMHC, LPC, NCC, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Arden, NC
• Providers in Arden, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.