Elisa M Duncan, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39000600A Issued in IN

Practice address

1117 N Jackson St
Bloomington, IN 47404-3385

Phone

(812) 322-3467

Fax

(812) 339-4436

NPI assigned

Jun 14, 2007

Sex

Female

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

Enrolled in IN

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Elisa M Duncan LLC

  • Mental Health Counselor
  • Bloomington, IN
  • NPI 1629846241
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1396949103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 N JACKSON ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043385",
            "telephone_number": "812-322-3467",
            "fax_number": "812-339-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 N JACKSON ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043385",
            "telephone_number": "812-322-3467",
            "fax_number": "812-339-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "ELISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000600A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell J. Dukes, M.D.
• Penny Duley, WRAPAROUND PROVIDER
• Trudy Ann Dunaway-Brown, MASSAGE THERAPIST
• Camillya Duncan
• David Austin Duncan, DO
• Michelle Dianne Duncan, FNP
• Michael Tim Dunfee, M.D.
• Dungarvin Indiana, LLC
• Patrick Lee Dunigan, D.D.S.
• Kellie Lyn Dunkin, MSN NP

• Mental Health Counselor in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.