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DONNA MARIE DUGGAN
NPI 1831615343
Counselor - Mental Health in Worcester, MA

Active since August 16, 2017PECOS EnrolledAccepts Medicare Assignment
SOUTH BAY COMMUNITY SERVICES, 340 MAIN STREET - SUITE 818, WORCESTER, MA 02301(239) 234-0396(508) 521-2287 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 30, 2023, Jan 20, 2023, Aug 16, 2017 (3 updates tracked since 2017).

About Donna Marie Duggan NPPES

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

DONNA MARIE DUGGAN (NPI 1831615343) is an individual mental health provider in Worcester, Massachusetts, licensed in Massachusetts (13493) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1831615343
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDONNA MARIE DUGGAN
Location AddressSOUTH BAY COMMUNITY SERVICES, 340 MAIN STREET - SUITE 818Worcester, MA 02301
Mailing Address324 Clark StWorcester, MA 01606-1214 · (239) 234-0396
Phone(239) 234-0396
Fax(508) 521-2287
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 16, 2017
Last NPPES UpdateOctober 30, 20233 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1831615343 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 MA · 13493
SOUTH BAY COMMUNITY SERVICES, Worcester, MA 02301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donna Marie Duggan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779927421
PECOS Enrollment IDI20240221001417
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Donna Duggan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sb Transitional Sub, LLC
2.1 mi
Mental Health (Including Community Mental Health Center)
1115 W CHESTNUT ST
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 120 clinicians in this Medicare group
NPI 1962091173 (508) 521-2200
Boston Neurobehavioral Associates, LLC
32 mi
Psychiatry
226 FIELD ST
New Bedford, MA 02740
  • Reassigned Medicare billing, Massachusetts enrollment
  • 196 clinicians in this Medicare group
NPI 1558415307 (508) 979-5557
Thrive Counseling LLC
538 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Massachusetts enrollment
  • 250 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483
Mccd Fl Psychiatry Services PA
1,003 mi
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, Massachusetts enrollment
  • 59 clinicians in this Medicare group
NPI 1659003457 (833) 351-8255
Sondermind Provider Network LLC
1,773 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Massachusetts enrollment
  • 94 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

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 Donna Duggan's NPI number?

The NPI number for Donna Duggan is 1831615343. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Where is Donna Duggan located?

Donna Duggan practices at South Bay Community Services 340 Main Street - Suite 818, Worcester, MA 02301. The listed phone number is (239) 234-0396.

What is Donna Duggan's specialty?

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

Is Donna Duggan enrolled in Medicare?

Yes. Donna Duggan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Donna Duggan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Duggan reassigns Medicare benefits to 5 organizations: Sb Transitional Sub, LLC (Brockton, MA), Boston Neurobehavioral Associates, LLC (New Bedford, MA), Thrive Counseling LLC (Lynchburg, VA), Mccd Fl Psychiatry Services PA (Jacksonville, FL) and Sondermind Provider Network LLC (Denver, CO). Each 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 Donna Duggan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Duggan accept?

Health plans from Harvard Pilgrim Health Care and Taro Health list Donna Duggan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donna Duggan was last updated on October 30, 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.