Active NPI
Donna Marie Duggan
- Mental Health Counselor
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13493
- Practice address
- South Bay Community Services
340 Main Street - Suite 818
Worcester, MA 02301 - Phone
- (239) 234-0396
- Fax
- (508) 521-2287
- NPI assigned
- Aug 16, 2017
- 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 | 13493 | MA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
South Bay Community Services
340 Main Street - Suite 818
Worcester, MA 02301
Mailing address
324 Clark St
Worcester, MA 01606-1214
Phone (239) 234-0396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Adams St
Suite 26
Quincy, MA 02169-2022
Phone (855) 284-7483
300 Baker Ave
Concord, MA 01742-2131
Phone (833) 351-8255
324 Clark St
Worcester, MA 01606-1214
Phone (508) 521-2200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13493 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Mental Health | Current | Accepting new patients |
| Boston Neurobehavioral Associates, LLC | Current | Accepting new patients | |
| SB Transitional Sub, LLC | Current | Accepting new patients | |
| South Bay Mental Health Center, Inc. | Past | Accepting new patients |
Locations
103 Commercial St
Ste 2
Brockton, MA 02302
872 Massachusetts Ave
Ste 2-2
Cambridge, MA 02139
Phone 6173804651 ext. 1992
226 Field St
New Bedford, MA 02740
Phone (508) 817-5129
101 Adams St
Ste 26
Quincy, MA 02169
Phone (469) 826-2779
116 Belmont St
Rm 26
Worcester, MA 01605
324 Clark St
Worcester, MA 01606
Phone (508) 752-3969
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brockton, MA
- NPI 1962091173
-
- Psychiatry Physician
- New Bedford, MA
- NPI 1558415307
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brockton, MA
- NPI 1023096864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1831615343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 CLARK ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016061214",
"telephone_number": "239-234-0396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOUTH BAY COMMUNITY SERVICES",
"address_2": "340 MAIN STREET - SUITE 818",
"city": "WORCESTER",
"state": "MA",
"postal_code": "02301",
"telephone_number": "239-234-0396",
"fax_number": "508-521-2287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGGAN",
"first_name": "DONNA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-16",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "13493",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.