Individual provider Active NPI

Dora Brown Durante, LCPC

  • Pastoral Counselor
  • Glenn Dale, MD
National Provider Identifier
1831790393
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
LC8951 Issued in MD
Practice address
11402 Prospect CT
Glenn Dale, MD 20769-9451
Phone
(301) 262-8657
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X LC8951 MD Primary

Addresses

Primary practice location

11402 Prospect CT
Glenn Dale, MD 20769-9451

Mailing address

11402 Prospect CT
Glenn Dale, MD 20769-9451
Phone (301) 327-2695

Other names 1

  • Mrs. Dora Lee Durante Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240815001204 DC Practitioner - Mental Health Counselor 3870981020 Practice locations: Glenn Dale, MD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11402 Prospect CT
Glenn Dale, MD 20769-9451
Phone (240) 510-7766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1831790393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11402 PROSPECT CT",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699451",
            "telephone_number": "301-327-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11402 PROSPECT CT",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699451",
            "telephone_number": "301-262-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURANTE",
        "first_name": "DORA",
        "middle_name": "BROWN",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MD",
            "license": "LC8951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORA",
            "last_name": "DURANTE",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "credential": "LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Glenn Dale, MD

Sources for this page

Verify at the official NPI Registry.