Active NPI
Duncan Scott Wilson
- Mental Health Counselor
- Durham, NC
National Provider Identifier
1700103215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7890
- Practice address
- 2608 Erwin Rd
Suite 148, Box 268
Durham, NC 27705-4596 - Phone
- (919) 491-4640
- NPI assigned
- Apr 23, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7890 | NC | Primary |
Addresses
Primary practice location
2608 Erwin Rd
Suite 148, Box 268
Durham, NC 27705-4596
Mailing address
2608 Erwin Rd
Suite 148, Box 268
Durham, NC 27705-4596
Phone (919) 491-4640
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 |
|---|---|---|---|
| 7890 | NC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1700103215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 ERWIN RD",
"address_2": "SUITE 148, BOX 268",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054596",
"telephone_number": "919-491-4640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2608 ERWIN RD",
"address_2": "SUITE 148, BOX 268",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054596",
"telephone_number": "919-491-4640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DUNCAN",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-23",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "7890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.