Individual provider Active NPI

Nathan Donald Duchesne, LCPC, LPC

  • Professional Counselor
  • Greenville, SC
National Provider Identifier
1417416462
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9235 Issued in SC
Practice address
30 Patewood Dr Ste 160
Greenville, SC 29615-6809
Phone
(843) 501-1099
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC7138 ME
Professional Counselor 101YP2500X 9235 SC Primary

Addresses

Primary practice location

30 Patewood Dr Ste 160
Greenville, SC 29615-6809

Mailing address

38 Blake St
Greenville, SC 29605-4436
Phone (036) 703-5823

Other practice location 1

52 Christian Ridge Rd
Ellsworth, ME 04605-3210
Phone (207) 610-8015

Other practice location 2

1695 Main St Fl 400
Springfield, MA 01103-1063
Phone (413) 739-5572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20240819002924 SC Practitioner - Mental Health Counselor 6608314851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Counseling Center PCGroup PAC ID 6204125107, 186 clinicians

Practice addresses (Care Compare)

30 Patewood Dr
Suite 160
Greenville, SC 29615-6809
Phone (843) 501-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC7138MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Counseling Center PC Mental Health CurrentSince Sep 9, 2024 Accepting new patients
Myrtle Beach Counseling Center Mental Health PastSince Aug 6, 2019 Accepting new patients
Community Services Institute, Inc. PastSince Mar 11, 2012 Accepting new patients

Locations

30 Patewood Dr
Ste 160
Greenville, SC 29615
Phone (864) 455-5777

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1417416462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BLAKE ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054436",
            "telephone_number": "036-703-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PATEWOOD DR STE 160",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156809",
            "telephone_number": "843-501-1099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Christian Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Ellsworth",
            "state": "ME",
            "postal_code": "046053210",
            "country_code": "US",
            "telephone_number": "207-610-8015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1695 Main St Fl 400",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011031063",
            "country_code": "US",
            "telephone_number": "413-739-5572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUCHESNE",
        "first_name": "NATHAN",
        "middle_name": "DONALD",
        "credential": "LCPC, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC7138",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "9235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.