ELISA M DUNCAN LLC
NPI 1629846241
Counselor - Mental Health in Bloomington, IN

Active since December 13, 2023
1117 N JACKSON ST, BLOOMINGTON, IN 47404(812) 322-3467 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elisa M Duncan Llc NPPES

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

ELISA M DUNCAN LLC (NPI 1629846241) is a healthcare organization registered as a mental health in Bloomington, Indiana and active in the NPI registry since December 2023. The organization lists Elisa Duncan, Owner / Operator, as its authorized official.

NPPES Registry Identity

NPI1629846241
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameELISA M DUNCAN LLC
Location Address1117 N JACKSON STBloomington, IN 47404-3385
Mailing Address1117 N Jackson StBloomington, IN 47404-3385 · (812) 322-3467
Organization SubpartNo
Authorized OfficialElisa DuncanOwner / Operator · (812) 322-3467
Enumeration DateDecember 13, 2023
NPPES CertifiedDecember 13, 2023
✔ NPI 1629846241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1117 N JACKSON ST, Bloomington, IN 47404

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisa M Duncan Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Elisa M Duncan LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1396949103
1117 N JACKSON ST
Bloomington, IN 47404
(812) 322-3467
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Elisa M Duncan LLC's NPI number?

The NPI number for Elisa M Duncan LLC is 1629846241. It was assigned to this organization in the NPPES registry on December 13, 2023.

Where is Elisa M Duncan LLC located?

Elisa M Duncan LLC is located at 1117 N Jackson St, Bloomington, IN 47404. The listed phone number is (812) 322-3467.

What is Elisa M Duncan LLC's specialty?

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

Is Elisa M Duncan LLC enrolled in Medicare?

Yes. Elisa M Duncan LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elisa M Duncan LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Elisa M Duncan LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elisa M Duncan LLC was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.