Active NPI
Larry James Duncan, LMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1689738031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2166
- Practice address
- 2915 Grant St
Omaha, NE 68111-3863 - Phone
- (402) 457-1224
- NPI assigned
- Dec 20, 2006
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 385 | NE | |
| Mental Health Counselor | 101YM0800X | 604 | NE | |
| Mental Health Counselor | 101YM0800X | 2166 | NE | Primary |
Addresses
Primary practice location
2915 Grant St
Omaha, NE 68111-3863
Mailing address
809 Auburn LN
Papillion, NE 68046-6261
Phone (402) 216-6736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025460800 | Medicaid | NE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 604 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 385 | NE | MD | Psychologist |
Interoperability endpoints
- larry.duncan.p1@direct.charlesdrew.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1689738031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 AUBURN LN",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680466261",
"telephone_number": "402-216-6736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2915 GRANT ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681113863",
"telephone_number": "402-457-1224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "LARRY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LMHP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "385",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "604",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2166",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025460800",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.