Active NPI
Tyrone Durant McDuffie Jr.
- Mental Health Counselor
- El Paso, TX
National Provider Identifier
1619529294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 77470
- Practice address
- 10810 Elise St
El Paso, TX 79924-2455 - Phone
- (915) 256-7417
- NPI assigned
- Jul 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CTB-2025-0350 | NM | |
| Mental Health Counselor | 101YM0800X | 77470 | TX | Primary |
| Mental Health Counselor | 101YM0800X | MHC.LH.61684480 | WA |
Addresses
Primary practice location
10810 Elise St
El Paso, TX 79924-2455
Mailing address
5900 Balcones Dr Ste 100
Austin, TX 78731-4257
Phone (915) 256-7417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Austin, TX 78731
Phone (415) 360-3348
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77470 | TX | MD | Mental Health Counselor |
| MHC.LH.61684480 | WA | MD | Mental Health Counselor |
| CTB-2025-0350 | NM | MD | Professional Counselor |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1619529294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314257",
"telephone_number": "915-256-7417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10810 ELISE ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799242455",
"telephone_number": "915-256-7417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDUFFIE",
"first_name": "TYRONE",
"middle_name": "DURANT",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-12",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CTB-2025-0350",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "77470",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MHC.LH.61684480",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.