Damon Delano Chambers, LPC

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

6401016633 Issued in MI

Practice address

4621 Hanover Ave
Portage, MI 49002-2237

Phone

(269) 267-8203

NPI assigned

Feb 12, 2020

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: damon.chambers.1@32980.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  MI

  Medicare reassignment NPD
• Unmasked Counseling, Consulting and Psychological Services

  • School Counselor
  • Portage, MI
  • NPI 1356158612
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1083246573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 HANOVER AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490022237",
            "telephone_number": "269-267-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 HANOVER AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490022237",
            "telephone_number": "269-267-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "DAMON",
        "middle_name": "DELANO",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-12",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "640108438",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MI",
            "license": "6401016633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centerwell Certified Healthcare Corp. (CenterWell Home Health)
• Centre Dental Associates, P.C.
• Ces Consultation, P.C.
• Adalene Marie Chabon, DDS
• Eileen Sue Chaffee, PH.D.
• Duncan Chapman, MD
• Lisa Chapman
• Kaitlin T Chappell, NP
• Aubrie Chatham
• Altisha Chavez

• School Counselor in Portage, MI
• Providers in Portage, MI by specialty
• School Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.