Active NPI
Stephanie Guadalupe Duran, LPA LPC-S LCP LCPC
- Professional Counselor
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 70956
- Practice address
- 133 N. Riverfront Blvd.
8TH Floor
Dallas, TX 75207 - Phone
- (214) 653-6097
- NPI assigned
- May 26, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1499 | KS | |
| Forensic Psychologist | 103TF0200X | 34434 | TX | |
| Professional Counselor | 101YP2500X | 1224 | NV | |
| Professional Counselor | 101YP2500X | 70956 | TX | Primary |
Addresses
Primary practice location
133 N. Riverfront Blvd.
8TH Floor
Dallas, TX 75207
Mailing address
9814 Cedarcrest Dr
Providence Village, TX 76227-5412
Phone (940) 781-2349
Other practice location 1
4500 Medical Center Dr
McKinney, TX 75069-1650
Phone (972) 547-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1499 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 34434 | TX | MD | Forensic Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group of Kansas PA | Professional | Current | Accepting new patients |
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161
3753 Howard Hughes Pkwy
Ste 200
Las Vegas, NV 89169
Phone (702) 919-6580
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
Organizations & group practices 2
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": "1243296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1871728592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9814 CEDARCREST DR",
"city": "PROVIDENCE VILLAGE",
"state": "TX",
"postal_code": "762275412",
"telephone_number": "940-781-2349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 N. RIVERFRONT BLVD.",
"address_2": "8TH FLOOR",
"city": "DALLAS",
"state": "TX",
"postal_code": "75207",
"telephone_number": "214-653-6097"
}
],
"practiceLocations": [
{
"address_1": "4500 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "McKinney",
"state": "TX",
"postal_code": "750691650",
"country_code": "US",
"telephone_number": "972-547-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURAN",
"first_name": "STEPHANIE",
"middle_name": "GUADALUPE",
"name_prefix": "Ms.",
"credential": "LPA LPC-S LCP LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-26",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "1499",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "TX",
"license": "34434",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NV",
"license": "1224",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "70956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.