Individual provider Active NPI

Stephanie Guadalupe Duran, LPA LPC-S LCP LCPC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1871728592
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70956 Issued in TX
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

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 4

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1499KSMDAddiction (Substance Use Disorder) Counselor
34434TXMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of Kansas PA Professional CurrentSince Mar 5, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Mar 5, 2024 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

Verify at the official NPI Registry.