Jill Duba, PH.D., LPCC, MFTA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0819 Issued in KY

Practice address

1045 Elm St
Bowling Green, KY 42101-2513

Phone

(270) 843-1804

Fax

(270) 843-0154

NPI assigned

Aug 23, 2007

Last updated

Jan 21, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Hilltop Counseling Services

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  • NPI 1255664587

  Professional

  NPD (past)

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1619160546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2877 YEARLING AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421010783",
            "telephone_number": "270-996-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ELM ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012513",
            "telephone_number": "270-843-1804",
            "fax_number": "270-843-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBA",
        "first_name": "JILL",
        "name_prefix": "Mr.",
        "credential": "PH.D., LPCC, MFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "0819",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "KY-04-0032",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30604011",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DRS Duvall Tade and Associates
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• Allison L Druin, PT
• Crystal Drummond
• Athena Duckett
• Glory Amaris Duff
• Robert Dwayne Dukes, MSPT
• Shereia Christine Dukes
• Steve Duleh, MD, PHD

• Professional Counselor in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.