Individual provider Active NPI

Audra D Duke, MA, LPC

  • Mental Health Counselor
  • Ridgway, CO
National Provider Identifier
1447408240
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
640 Sherman St., Unit H
Ridgway, CO 81432
Phone
(970) 318-0529
Fax
(855) 403-3931
NPI assigned
Sep 4, 2008
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

640 Sherman St., Unit H
Ridgway, CO 81432

Mailing address

PO Box 5
Ridgway, CO 81432-0005

Other identifiers 1

IdentifierTypeStateIssuer
68800096MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240318001026 CO Practitioner - Mental Health Counselor 1052758760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

380 Sherman St
Ridgway, CO 81432-5055
Phone (970) 318-0529

PO Box
Suite 12
Ouray, CO 81427-0012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfulness Based Interventions LLC CurrentSince Feb 1, 2024 Accepting new patients
Mindfulness Based Interventions LLC CurrentSince May 16, 2021 Accepting new patients
Mindfulness Based Interventions LLC PastSince May 16, 2021 Accepting new patients

Locations

419 N 1st St
Ste E
Montrose, CO 81401

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1447408240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "RIDGWAY",
            "state": "CO",
            "postal_code": "814320005",
            "fax_number": "554-033-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 SHERMAN ST., UNIT H",
            "city": "RIDGWAY",
            "state": "CO",
            "postal_code": "81432",
            "telephone_number": "970-318-0529",
            "fax_number": "855-403-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "AUDRA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2021-05-12",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68800096",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgway, CO

Sources for this page

Verify at the official NPI Registry.