Individual provider Active NPI

Cara Woodbury Durgin, MSW STUDENT

  • Mental Health Counselor
  • Gloucester, MA
National Provider Identifier
1932753944
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3 Blackburn Ctr
Gloucester, MA 01930-2268
Phone
(978) 283-7198
NPI assigned
Jul 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3 Blackburn Ctr
Gloucester, MA 01930-2268

Mailing address

293 Bridge St
South Hamilton, MA 01982-1435
Phone (978) 468-6058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Justice Resource Institute, Inc. CurrentSince Dec 19, 2023 Accepting new patients

Locations

3 Blackburn Ctr
Gloucester, MA 01930
Phone (978) 264-3500

Organizations & group practices 1

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": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1932753944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 BRIDGE ST",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019821435",
            "telephone_number": "978-468-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BLACKBURN CTR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302268",
            "telephone_number": "978-283-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURGIN",
        "first_name": "CARA",
        "middle_name": "WOODBURY",
        "credential": "MSW STUDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.