Individual provider Active NPI

Earl R Durant, LPC, LMFT

  • Professional Counselor
  • Reston, VA
National Provider Identifier
1619103140
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701001747 Issued in VA
Practice address
11250 Roger Bacon Dr
Suite 12
Reston, VA 20190-5219
Phone
(703) 437-9993
Fax
(703) 437-9975
NPI assigned
Jun 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701001747 VA Primary
Marriage & Family Therapist 106H00000X 0717000693 VA

Addresses

Primary practice location

11250 Roger Bacon Dr
Suite 12
Reston, VA 20190-5219

Mailing address

11250 Roger Bacon Dr
Suite 12
Reston, VA 20190-5219
Phone (703) 437-9993

Other identifiers 2

IdentifierTypeStateIssuer
0701001747OtherVALICENSED PROFESSIONAL COUNSELOR
0717000693OtherVALICENSED MARRIAGE AND FAMILY THERAPIST

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
0701001747VAMDProfessional Counselor
0717000693VAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1619103140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11250 ROGER BACON DR",
            "address_2": "SUITE 12",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905219",
            "telephone_number": "703-437-9993",
            "fax_number": "703-437-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 ROGER BACON DR",
            "address_2": "SUITE 12",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905219",
            "telephone_number": "703-437-9993",
            "fax_number": "703-437-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURANT",
        "first_name": "EARL",
        "middle_name": "R",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001747",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000693",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "0701001747",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE AND FAMILY THERAPIST",
            "identifier": "0717000693",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.