Douglas William Duke, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2006 Issued in GA

Practice address

1030 Village Dr
Watkinsville, GA 30677-6004

Phone

(706) 769-1718

Fax

(706) 769-4535

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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.

• Douglas W Duke LPC

  • Professional Counselor
  • Watkinsville, GA
  • NPI 1497987119
  NPD (past) Authorized official PROFESSIONAL
• Stresscare, Inc.

  • Clinical Social Worker
  • Watkinsville, GA
  • NPI 1023086105
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508918822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 HOOD PL",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305297902",
            "telephone_number": "706-769-1718",
            "fax_number": "706-769-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 VILLAGE DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306776004",
            "telephone_number": "706-769-1718",
            "fax_number": "706-769-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "DOUGLAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "2006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Watkinsville, GA
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.