Active NPI
Jeffrey David Duncan, LMHC
- Mental Health Counselor
- Middleboro, MA
National Provider Identifier
1568570265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMHC5288
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LM1153 | Other | MA | BC BS OF MASS |
| 486846 | Other | MA | TUFTS |
| 2237741 | Other | MA | CIGNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMHC5288 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgardo C. Angeles, MD & Associates, PC | Mental Health | Past | 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.
-
- Mental Health Counselor
- Middleboro, MA
- NPI 1144332115
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.