Individual provider Active NPI

Aja Duncan, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Summerville, SC
National Provider Identifier
1689936759
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6295 Issued in SC
Practice address
201 Wood Thrush Way
Summerville, SC 29486-5335
Phone
(864) 660-9262
Fax
(844) 444-1152
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X APC002578 GA
Addiction (Substance Use Disorder) Counselor 101YA0400X 6295 SC Primary

Addresses

Primary practice location

201 Wood Thrush Way
Summerville, SC 29486-5335

Mailing address

201 Wood Thrush Way
Summerville, SC 29486-5335
Phone (864) 660-9262

Other identifiers 1

IdentifierTypeStateIssuer
PC1632MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aduncan78659@direct.ghs.myhfn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 17, 2024 through Apr 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APC002578GAMDAddiction (Substance Use Disorder) Counselor
6295SCMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: aduncan78659@direct.ghs.myhfn.org

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1689936759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WOOD THRUSH WAY",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294865335",
            "telephone_number": "864-660-9262",
            "fax_number": "844-444-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WOOD THRUSH WAY",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294865335",
            "telephone_number": "864-660-9262",
            "fax_number": "844-444-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "AJA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "APC002578",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "6295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1632",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aduncan78659@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "aduncan78659@direct.ghs.myhfn.org",
            "address_1": "905 Verdae Blvd Ste 201",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296074098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.