Individual provider Active NPI

Jeffrey David Duncan, LMHC

  • Mental Health Counselor
  • Middleboro, MA
National Provider Identifier
1568570265
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC5288 Issued in MA
Practice address
511 W Grove St
Suite 105
Middleboro, MA 02346-1458
Phone
(508) 923-3427
Fax
(508) 923-3428
NPI assigned
Aug 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LMHC5288 MA Primary

Addresses

Primary practice location

511 W Grove St
Suite 105
Middleboro, MA 02346-1458

Mailing address

511 W Grove St
Suite 105
Middleboro, MA 02346-1458
Phone (508) 923-3427

Other identifiers 3

IdentifierTypeStateIssuer
LM1153OtherMABC BS OF MASS
486846OtherMATUFTS
2237741OtherMACIGNA

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
LMHC5288MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Edgardo C. Angeles, MD & Associates, PC Mental Health PastSince Apr 1, 2005 Accepting new patients

Organizations & group practices 1

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568570265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W GROVE ST",
            "address_2": "SUITE 105",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461458",
            "telephone_number": "508-923-3427",
            "fax_number": "508-923-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W GROVE ST",
            "address_2": "SUITE 105",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461458",
            "telephone_number": "508-923-3427",
            "fax_number": "508-923-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC5288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MASS",
            "identifier": "LM1153",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "486846",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2237741",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleboro, MA

Sources for this page

  • 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.