Individual provider

Sarah Duggan

Addiction (Substance Use Disorder) Counselor Mental Health Counselor Medicare enrolled

Sarah Duggan is an Addiction (Substance Use Disorder) Counselor in Waltham, MA, registered under NPI 1255666947. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 20 HIGH ST STE 1, Waltham, MA 02453. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

20 HIGH ST STE 1, Waltham, MA 02453 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Social Worker
PAC ID
1153736301

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Social Worker. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Addiction (Substance Use Disorder) covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YA0400X
Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder)

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) primary
101YM0800X Mental Health Counselor Mental Health

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1255666947 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 14, 2009
Last updatedApr 2, 2025
StatusActive
Sole proprietorNo
Practice address 20 HIGH ST STE 1
Waltham, MA 02453
(781) 242-2200
Mailing address 995 WORTHINGTON ST
Springfield, MA 01109
Other identifiers 1004745 · NHP (MA)
1303287 (MA)
M18684 · BLUE CROSS (MA)
NP01332 · BMC (MA)
1306421 (MA)
M18633 · BLUE CROSS (MA)
This record was updated on Apr 2, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1255666947 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 5 5 6 6 6 9 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 1 5 3 6 3 9 8

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1255666947?
NPI 1255666947 is the National Provider Identifier assigned to Sarah Duggan in Waltham, MA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Addiction (Substance Use Disorder) cover?
Definition to come...
How do I contact Sarah Duggan?
The phone number on file with NPPES is (781) 242-2200, last updated Apr 2, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Sarah Duggan accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1255666947 a valid number?
Yes. 1255666947 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.