Individual provider Active NPI

Duane R Majeres, MS, LICENSED PSYCH.

  • Counseling Psychologist
  • Huron, SD
National Provider Identifier
1790895282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
144 Issued in SD
Practice address
357 Kansas Ave SE
Huron, SD 57350-2517
Phone
(605) 352-8596
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 144 SD Primary

Addresses

Primary practice location

357 Kansas Ave SE
Huron, SD 57350-2517

Mailing address

357 Kansas Ave SE
Huron, SD 57350-2517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241226001741 WI Practitioner - Mental Health Counselor 7012904634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

36745 Aiken Rd
Bayfield, WI 54814-4579
Phone 71577937072324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Red Cliff Band of Lake Superior Chippewa Indians CurrentSince Dec 1, 2024 Accepting new patients
Red Cliff Band of Lake Superior Chippewa Indians CurrentSince Dec 1, 2024 Accepting new patients
Community Counseling Service PastSince Apr 2, 2004 Accepting new patients

Locations

36745 Aiken Rd
Bayfield, WI 54814
Phone (715) 779-3707

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790895282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 KANSAS AVE SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 KANSAS AVE SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502517",
            "telephone_number": "605-352-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJERES",
        "first_name": "DUANE",
        "middle_name": "R",
        "credential": "MS, LICENSED PSYCH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "SD",
            "license": "144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, SD

Sources for this page

Verify at the official NPI Registry.