Michael K Durham, LICDC-CS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LICDC.923266 Issued in OH

Practice address

3113 State Road 580 Lot 355
Safety Harbor, FL 34695-5929

Phone

(419) 709-6648

NPI assigned

Apr 22, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1386499309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 STATE ROAD 580 LOT 355",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955929",
            "telephone_number": "419-709-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 STATE ROAD 580 LOT 355",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955929",
            "telephone_number": "419-709-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "credential": "LICDC-CS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.923266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Colding Drayton, LCSW
• Cynthy Joy Drucker, R.D.
• Desiree Deandra Drummond, MD
• Hallie Dunning
• Haiven Paige Durham, SLPA
• Heather Durkin, PHARMD
• Eagle Vision Consulting & Life Enrichment Services, Inc.
• Phillip Dilan Ebanks
• Kaitlyn M Edmondson, PA
• Eduardo Palanca MD PA

• Addiction (Substance Use Disorder) Counselor in Safety Harbor, FL
• Providers in Safety Harbor, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.