Individual provider Active NPI

William J Duba, LMHC

  • Mental Health Counselor
  • North Bay Village, FL
National Provider Identifier
1497909758
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6806 Issued in FL
Practice address
7501 E Treasure Dr Apt 9P
North Bay Village, FL 33141-4399
Phone
(305) 244-0090
Fax
(786) 216-7710
NPI assigned
Nov 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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 6806 FL Primary

Addresses

Primary practice location

7501 E Treasure Dr Apt 9P
North Bay Village, FL 33141-4399

Mailing address

7501 E Treasure Dr Apt 9P
North Bay Village, FL 33141-4399
Phone (305) 244-0090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6806FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1497909758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 E TREASURE DR APT 9P",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414399",
            "telephone_number": "305-244-0090",
            "fax_number": "786-216-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 E TREASURE DR APT 9P",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414399",
            "telephone_number": "305-244-0090",
            "fax_number": "786-216-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBA",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-12",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "6806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bay Village, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.