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CARRY DURHAM LPC
NPI 1528617545
Counselor - Mental Health in Haymarket, VA

Active since September 11, 2019Opted out of Medicare · through Sep 19, 2026
15874 MACKENZIE MANOR DR, HAYMARKET, VA 20169(520) 401-4648(703) 753-2539 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Carry Durham Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARRY DURHAM LPC (NPI 1528617545) is an individual mental health provider in Haymarket, Virginia, licensed in Virginia (0701008544) and active in the NPI registry since September 2019. She has opted out of Medicare through September 19, 2026.

NPPES Registry Identity

NPI1528617545
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCARRY DURHAMCredential: LPC
Location Address15874 MACKENZIE MANOR DRHaymarket, VA 20169-4947
Mailing Address15874 Mackenzie Manor DrHaymarket, VA 20169-4947 · (520) 401-4648 · Fax (703) 753-2539
Phone(520) 401-4648
Fax(703) 753-2539
Sole ProprietorYes
Enumeration DateSeptember 11, 2019
✔ NPI 1528617545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0701008544
15874 MACKENZIE MANOR DR, Haymarket, VA 20169
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carry Durham Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 19, 2024 through September 19, 2026.

Opt-Out Effective DateSeptember 19, 2024
Opt-Out In Effect ThroughSeptember 19, 2026Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carry Durham's NPI number?

The NPI number for Carry Durham is 1528617545. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Where is Carry Durham located?

Carry Durham practices at 15874 Mackenzie Manor Dr, Haymarket, VA 20169. The listed phone number is (520) 401-4648.

What is Carry Durham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Carry Durham enrolled in Medicare?

No. Carry Durham has opted out of Medicare through September 19, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Carry Durham was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.