Active NPI
Marcel Aime Duclos, LCMHC, LPC, LISAC
- Mental Health Counselor
- Grants Pass, OR
National Provider Identifier
1952456451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 542
- Practice address
- 715 SW Ramsey Ave
Grants Pass, OR 97527-5500 - Phone
- (541) 956-4943
- Fax
- (541) 956-5463
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 542 | NH | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-15024 | AZ | |
| Professional Counselor | 101YP2500X | LPC-15029 | AZ |
Addresses
Primary practice location
715 SW Ramsey Ave
Grants Pass, OR 97527-5500
Mailing address
715 SW Ramsey Ave
Grants Pass, OR 97527-5500
Phone (541) 956-4943
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-15024 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| 542 | NH | MD | Mental Health Counselor |
| LPC-15029 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1952456451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 SW RAMSEY AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275500",
"telephone_number": "541-956-4943",
"fax_number": "541-956-5463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 SW RAMSEY AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275500",
"telephone_number": "541-956-4943",
"fax_number": "541-956-5463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCLOS",
"first_name": "MARCEL",
"middle_name": "AIME",
"credential": "LCMHC, LPC, LISAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "542",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-15024",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-15029",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.