Active NPI
Aja Duncan, LPC
- Addiction (Substance Use Disorder) Counselor
- Summerville, SC
National Provider Identifier
1689936759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6295
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC1632 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| APC002578 | GA | MD | Addiction (Substance Use Disorder) Counselor |
| 6295 | SC | MD | Physical Therapist |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.