Catelyn Dake Durham, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC009740 Issued in GA

Practice address

3966 S Bogan Rd
Buford, GA 30519-8633

Phone

(678) 765-8276

Fax

(678) 765-8274

NPI assigned

May 24, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Trifecta Health, LLC

  • Community/Behavioral Health Agency
  • Dacula, GA
  • NPI 1538706916
  NPD (past)

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1710335385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 374",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305170007",
            "telephone_number": "413-776-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3966 S BOGAN RD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198633",
            "telephone_number": "678-765-8276",
            "fax_number": "678-765-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "CATELYN",
        "middle_name": "DAKE",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC005155",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duluth Medical Center, LLC (SugarHill Medical and Spine Center)
• Herbert Dunbar
• Jackie Kendell Dunbar, PHARM.D.
• Sha'Rhonda Dunbar, LCSW
• Megan J Duncan Binstock, P.A.
• Latonya Teress Earl, APRN, NP-C
• East Counseling and Psychotherapy LLC
• Eastside Emergency Medical Services LLC (Xzyon EMS LLC)
• Ebs Children's Therapy- Ga, LLC
• Latess Echavarria

• Professional Counselor in Buford, GA
• Providers in Buford, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.