Individual provider Active NPI

Janet L Mittman, LPC

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1609106327
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7717 Issued in NC
Practice address
3912 Linden Ter
Durham, NC 27705-2842
Phone
(919) 593-6485
NPI assigned
Dec 31, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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 7717 NC Primary

Addresses

Primary practice location

3912 Linden Ter
Durham, NC 27705-2842

Mailing address

3912 Linden Ter
Durham, NC 27705-2842
Phone (919) 593-6485

Other identifiers 1

IdentifierTypeStateIssuer
6104377MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241111003831 NC Practitioner - Mental Health Counselor 4183158306 Practice locations: Durham, NC

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Durham, NC 27705
Phone (919) 593-6485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1609106327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 LINDEN TER",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052842",
            "telephone_number": "919-593-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 LINDEN TER",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052842",
            "telephone_number": "919-593-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTMAN",
        "first_name": "JANET",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-31",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104377",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.