Active NPI
Damien Robinson
- Mental Health Counselor
- Round Rock, TX
National Provider Identifier
1063922839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 73640
- Practice address
- 306 Round Rock Ave
Round Rock, TX 78664-5142 - Phone
- (210) 625-0348
- NPI assigned
- Oct 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 73640 | TX | Primary |
Addresses
Primary practice location
306 Round Rock Ave
Round Rock, TX 78664-5142
Mailing address
537 Bradford LN
Hutto, TX 78634-2118
Phone (210) 625-0348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73640 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507248000000",
"number": "1063922839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 BRADFORD LN",
"city": "HUTTO",
"state": "TX",
"postal_code": "786342118",
"telephone_number": "210-625-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 ROUND ROCK AVE",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786645142",
"telephone_number": "210-625-0348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "DAMIEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-06",
"last_updated": "2017-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "73640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.