Organization Active NPI

Dugan Psychotherapy, PLLC

  • Professional Counselor
  • Lexington, VA
National Provider Identifier
1932540259
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64553 Issued in TX
Legal business name
DUGAN PSYCHOTHERAPY, PLLC
Doing business as
Dugan Psychotherapy
Practice address
6 Junkin PL
Lexington, VA 24450-1822
Phone
(512) 567-6358
Fax
(737) 263-1106
NPI assigned
Jul 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Jessica Rush DuganNPI 1861770810
Title
Co-Owner
Phone
(512) 567-6358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 64553 TX Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 40671 TX

Addresses

Primary practice location

6 Junkin PL
Lexington, VA 24450-1822

Mailing address

6 Junkin PL
Lexington, VA 24450-1822
Phone (512) 567-6358

Other names 1

  • Dugan Psychotherapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260131000244 VA Part B Supplier - Clinic/Group Practice 6608354600 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, VA

National Provider Directory

National Provider Directory

Locations

1605 E 7th St
Unit A
Austin, TX 78702
Phone (512) 207-0096

205 S Randolph St
Lexington, VA 24450
Phone (540) 572-0667

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1932540259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 JUNKIN PL",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244501822",
            "telephone_number": "512-567-6358",
            "fax_number": "737-263-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 JUNKIN PL",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244501822",
            "telephone_number": "512-567-6358",
            "fax_number": "737-263-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUGAN PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "DUGAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "RUSH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "512-567-6358"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64553",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "40671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dugan Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dugan Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.