Colin J Duffy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451024015 Issued in MI

Practice address

15173 North Rd Ste 100
Fenton, MI 48430-1381

Phone

(810) 771-4074

NPI assigned

Feb 1, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Creekside Counseling Group LLC

  • Clinical Social Worker
  • Grand Blanc, MI
  • NPI 1619550860

  Mental Health

  NPD

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

{
    "created_epoch": "1738368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1669286639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 ALTA VISTA DR",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481698480",
            "telephone_number": "810-626-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15173 NORTH RD STE 100",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301381",
            "telephone_number": "810-771-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "COLIN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451024015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David George Drake, D.D.S., M.S.
• DRS Mesh, P.C.
• DRS. Mesh, P.C.
• Marie Drury-Davis, DOULA
• Sean Thomas Duffey, DPT
• Hunter Dumas
• Denise Ann Dumoulin, PT
• Deborah L Duncan, MD
• Sheena M Dutcher, C.M.M.T.
• E Doran Kasper OD PC

• Mental Health Counselor in Fenton, MI
• Providers in Fenton, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; 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.