Individual provider Active NPI

Donna Marie Duggan

  • Mental Health Counselor
  • Worcester, MA
National Provider Identifier
1831615343
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13493 Issued in MA
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

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221001417 MA Practitioner - Mental Health Counselor 3779927421 Reassigns benefits to 5 organizations

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
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians
SB Transitional Sub LLCGroup PAC ID 7911315379, 70 clinicians

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

LicenseStateTypeSpecialty
13493MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Mar 25, 2024 Accepting new patients
Boston Neurobehavioral Associates, LLC CurrentSince Apr 1, 2025 Accepting new patients
SB Transitional Sub, LLC CurrentSince Jan 10, 2024 Accepting new patients
South Bay Mental Health Center, Inc. PastSince Jun 27, 2018 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.

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

Verify at the official NPI Registry.