Active NPI
Danielle Duron
- Counselor
- Holland, MI
National Provider Identifier
1811282916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401013317
- Practice address
- 12330 James St Ste A80
Holland, MI 49424-8581 - Phone
- (616) 757-5667
- NPI assigned
- Jun 16, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Counselor | 101Y00000X | 6401013317 | MI | Primary |
Addresses
Primary practice location
12330 James St Ste A80
Holland, MI 49424-8581
Mailing address
2566 Woodmeadow Dr SE
Grand Rapids, MI 49546-8031
Phone (616) 719-0194
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 |
|---|---|---|---|
| 6401013317 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Trauma and Attachment Center of West Michigan | Current | Accepting new patients |
Locations
12330 James St
Ste A80
Holland, MI 49424
Phone (616) 757-5667
12330 James St
Ste B70
Holland, MI 49424
Phone (616) 757-7572
Organizations & group practices 1
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.
-
- Professional Counselor
- Holland, MI
- NPI 1306544358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1811282916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2566 WOODMEADOW DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468031",
"telephone_number": "616-719-0194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12330 JAMES ST STE A80",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494248581",
"telephone_number": "616-757-5667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURON",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-16",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401013317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.