Individual provider Active NPI

Margaret Fanning Macduffie, L.M.H.C.

  • Mental Health Counselor
  • Daytona Beach, FL
National Provider Identifier
1538118641
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH3265 Issued in FL
Practice address
435 S Ridgewood Ave
Suite 105
Daytona Beach, FL 32114-4927
Phone
(386) 258-1700
Fax
(386) 672-0014
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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 MH3265 FL Primary

Addresses

Primary practice location

435 S Ridgewood Ave
Suite 105
Daytona Beach, FL 32114-4927

Mailing address

435 S Ridgewood Ave
Suite 105
Daytona Beach, FL 32114-4927
Phone (386) 258-1700

Other identifiers 1

IdentifierTypeStateIssuer
7611587 00MedicaidFL

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
MH3265FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1538118641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 S RIDGEWOOD AVE",
            "address_2": "SUITE 105",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144927",
            "telephone_number": "386-258-1700",
            "fax_number": "386-672-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S RIDGEWOOD AVE",
            "address_2": "SUITE 105",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144927",
            "telephone_number": "386-258-1700",
            "fax_number": "386-672-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDUFFIE",
        "first_name": "MARGARET",
        "middle_name": "FANNING",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7611587 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.