John Dury, LPC, MFT, MAC, SAP
NPI 1063604403ActiveIndividual· Counselor, Professional· Stone Mountain, GA
Counselor, Professional (LPC, MFT, MAC, SAP) with Sud Specialty Group - Ca, practicing in Stone Mountain, Georgia. Enrolled in Medicare as practitioner - marriage and family therapist.
Overview
| NPI | 1063604403 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, MFT, MAC, SAP |
| Sole proprietor | Yes |
| NPI issued | Aug 9, 2007 |
| Last updated in NPPES | May 16, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 002917 | GA |
| Marriage & Family Therapist | 106H00000X | 38618 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Marriage and Family Therapist (CA) |
|---|
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
Medical group
- Sud Specialty Group - CaSanta Clara, CA · 568 clinicians
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