Individual provider Active NPI

Martha Hines Duncan, M.ED, LPC, LPC-S

  • Professional Counselor
  • Anderson, SC
National Provider Identifier
1922468339
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5497 Issued in SC
Practice address
125 Muddy Toes Dr
Anderson, SC 29626-5349
Phone
(864) 353-3384
Fax
(864) 222-9715
NPI assigned
Feb 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4642 SC
Professional Counselor 101YP2500X 5497 SC Primary

Addresses

Primary practice location

125 Muddy Toes Dr
Anderson, SC 29626-5349

Mailing address

104 Oak Holw
Pendleton, SC 29670-9302
Phone (864) 556-9771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240724003486 SC Practitioner - Mental Health Counselor 9739625864 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
4642SCMDOccupational Therapist
5497SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling for Life, Inc. Professional CurrentSince Jun 3, 2024 Accepting new patients
John W Martin Jr MD PA Professional Past Accepting new patients
Stress Management Center, LLC PastSince Oct 1, 2008 Accepting new patients

Locations

1209 N Fant St
Anderson, SC 29621
Phone (864) 353-3384

125 Muddy Toes Dr
Anderson, SC 29626
Phone (864) 353-3384

Organizations & group practices 3

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": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1922468339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 OAK HOLW",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296709302",
            "telephone_number": "864-556-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MUDDY TOES DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296265349",
            "telephone_number": "864-353-3384",
            "fax_number": "864-222-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "MARTHA",
        "middle_name": "HINES",
        "name_prefix": "Mrs.",
        "credential": "M.ED, LPC, LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4642",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.